US20070026075A1 - Gelled donepezil compositions and methods for making and using the same - Google Patents
Gelled donepezil compositions and methods for making and using the same Download PDFInfo
- Publication number
- US20070026075A1 US20070026075A1 US11/476,410 US47641006A US2007026075A1 US 20070026075 A1 US20070026075 A1 US 20070026075A1 US 47641006 A US47641006 A US 47641006A US 2007026075 A1 US2007026075 A1 US 2007026075A1
- Authority
- US
- United States
- Prior art keywords
- oil
- gelled
- composition according
- donepezil
- gum
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Abandoned
Links
- 239000000203 mixture Substances 0.000 title claims abstract description 132
- ADEBPBSSDYVVLD-UHFFFAOYSA-N donepezil Chemical compound O=C1C=2C=C(OC)C(OC)=CC=2CC1CC(CC1)CCN1CC1=CC=CC=C1 ADEBPBSSDYVVLD-UHFFFAOYSA-N 0.000 title claims abstract description 108
- 229960003530 donepezil Drugs 0.000 title claims abstract description 54
- 238000000034 method Methods 0.000 title claims abstract description 27
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 claims abstract description 26
- 239000013543 active substance Substances 0.000 claims abstract description 21
- 239000000839 emulsion Substances 0.000 claims abstract description 21
- -1 fatty acid esters Chemical class 0.000 claims description 42
- 239000003921 oil Substances 0.000 claims description 27
- 235000019198 oils Nutrition 0.000 claims description 27
- 239000000499 gel Substances 0.000 claims description 20
- 235000014113 dietary fatty acids Nutrition 0.000 claims description 19
- 239000000194 fatty acid Substances 0.000 claims description 19
- 229930195729 fatty acid Natural products 0.000 claims description 19
- PEDCQBHIVMGVHV-UHFFFAOYSA-N Glycerol Natural products OCC(O)CO PEDCQBHIVMGVHV-UHFFFAOYSA-N 0.000 claims description 16
- DNIAPMSPPWPWGF-UHFFFAOYSA-N monopropylene glycol Natural products CC(O)CO DNIAPMSPPWPWGF-UHFFFAOYSA-N 0.000 claims description 15
- 229920001525 carrageenan Polymers 0.000 claims description 14
- 239000000679 carrageenan Substances 0.000 claims description 14
- 229940113118 carrageenan Drugs 0.000 claims description 14
- 239000003349 gelling agent Substances 0.000 claims description 14
- 239000002562 thickening agent Substances 0.000 claims description 13
- 239000003981 vehicle Substances 0.000 claims description 13
- 238000004806 packaging method and process Methods 0.000 claims description 11
- 235000010418 carrageenan Nutrition 0.000 claims description 10
- 239000000796 flavoring agent Substances 0.000 claims description 10
- 239000004094 surface-active agent Substances 0.000 claims description 10
- UHVMMEOXYDMDKI-JKYCWFKZSA-L zinc;1-(5-cyanopyridin-2-yl)-3-[(1s,2s)-2-(6-fluoro-2-hydroxy-3-propanoylphenyl)cyclopropyl]urea;diacetate Chemical compound [Zn+2].CC([O-])=O.CC([O-])=O.CCC(=O)C1=CC=C(F)C([C@H]2[C@H](C2)NC(=O)NC=2N=CC(=CC=2)C#N)=C1O UHVMMEOXYDMDKI-JKYCWFKZSA-L 0.000 claims description 10
- 229920000161 Locust bean gum Polymers 0.000 claims description 9
- 229920003171 Poly (ethylene oxide) Polymers 0.000 claims description 9
- 235000011187 glycerol Nutrition 0.000 claims description 9
- 235000010420 locust bean gum Nutrition 0.000 claims description 9
- 239000000711 locust bean gum Substances 0.000 claims description 9
- 229920000057 Mannan Polymers 0.000 claims description 8
- 229920002125 Sokalan® Polymers 0.000 claims description 8
- 229930006000 Sucrose Natural products 0.000 claims description 7
- 235000003599 food sweetener Nutrition 0.000 claims description 7
- 239000005720 sucrose Substances 0.000 claims description 7
- 239000003765 sweetening agent Substances 0.000 claims description 7
- 241001465754 Metazoa Species 0.000 claims description 6
- 229920002472 Starch Polymers 0.000 claims description 6
- 235000010443 alginic acid Nutrition 0.000 claims description 6
- 229920000615 alginic acid Polymers 0.000 claims description 6
- 239000010775 animal oil Substances 0.000 claims description 6
- 235000019634 flavors Nutrition 0.000 claims description 6
- 235000010987 pectin Nutrition 0.000 claims description 6
- 239000001814 pectin Substances 0.000 claims description 6
- 229920001277 pectin Polymers 0.000 claims description 6
- 239000003755 preservative agent Substances 0.000 claims description 6
- 150000003839 salts Chemical class 0.000 claims description 6
- 239000008107 starch Substances 0.000 claims description 6
- 235000019698 starch Nutrition 0.000 claims description 6
- 235000015112 vegetable and seed oil Nutrition 0.000 claims description 6
- 239000008158 vegetable oil Substances 0.000 claims description 6
- 235000019502 Orange oil Nutrition 0.000 claims description 5
- 244000299461 Theobroma cacao Species 0.000 claims description 5
- 239000010502 orange oil Substances 0.000 claims description 5
- 239000003549 soybean oil Substances 0.000 claims description 5
- 235000012424 soybean oil Nutrition 0.000 claims description 5
- 229920002134 Carboxymethyl cellulose Polymers 0.000 claims description 4
- 229920000084 Gum arabic Polymers 0.000 claims description 4
- 229920002752 Konjac Polymers 0.000 claims description 4
- 235000006679 Mentha X verticillata Nutrition 0.000 claims description 4
- 235000002899 Mentha suaveolens Nutrition 0.000 claims description 4
- 235000001636 Mentha x rotundifolia Nutrition 0.000 claims description 4
- 239000004372 Polyvinyl alcohol Substances 0.000 claims description 4
- 239000004373 Pullulan Substances 0.000 claims description 4
- 229920001218 Pullulan Polymers 0.000 claims description 4
- 235000005764 Theobroma cacao ssp. cacao Nutrition 0.000 claims description 4
- 235000005767 Theobroma cacao ssp. sphaerocarpum Nutrition 0.000 claims description 4
- 229920001615 Tragacanth Polymers 0.000 claims description 4
- 235000010489 acacia gum Nutrition 0.000 claims description 4
- 239000000205 acacia gum Substances 0.000 claims description 4
- 239000000305 astragalus gummifer gum Substances 0.000 claims description 4
- 235000001046 cacaotero Nutrition 0.000 claims description 4
- 235000010948 carboxy methyl cellulose Nutrition 0.000 claims description 4
- 239000001768 carboxy methyl cellulose Substances 0.000 claims description 4
- 235000010485 konjac Nutrition 0.000 claims description 4
- 229920001495 poly(sodium acrylate) polymer Polymers 0.000 claims description 4
- 239000004584 polyacrylic acid Substances 0.000 claims description 4
- 229920005862 polyol Polymers 0.000 claims description 4
- 150000003077 polyols Chemical class 0.000 claims description 4
- 229920001282 polysaccharide Polymers 0.000 claims description 4
- 239000005017 polysaccharide Substances 0.000 claims description 4
- 229920002451 polyvinyl alcohol Polymers 0.000 claims description 4
- 235000013855 polyvinylpyrrolidone Nutrition 0.000 claims description 4
- 239000001267 polyvinylpyrrolidone Substances 0.000 claims description 4
- 229920000036 polyvinylpyrrolidone Polymers 0.000 claims description 4
- 235000019423 pullulan Nutrition 0.000 claims description 4
- 229920001285 xanthan gum Polymers 0.000 claims description 4
- 235000010493 xanthan gum Nutrition 0.000 claims description 4
- 239000000230 xanthan gum Substances 0.000 claims description 4
- 229940082509 xanthan gum Drugs 0.000 claims description 4
- 229920001817 Agar Polymers 0.000 claims description 3
- 239000001884 Cassia gum Substances 0.000 claims description 3
- 229920002148 Gellan gum Polymers 0.000 claims description 3
- 229920002907 Guar gum Polymers 0.000 claims description 3
- 229920000569 Gum karaya Polymers 0.000 claims description 3
- 235000019501 Lemon oil Nutrition 0.000 claims description 3
- 244000090599 Plantago psyllium Species 0.000 claims description 3
- 235000010451 Plantago psyllium Nutrition 0.000 claims description 3
- 241000934878 Sterculia Species 0.000 claims description 3
- 240000004584 Tamarindus indica Species 0.000 claims description 3
- 235000004298 Tamarindus indica Nutrition 0.000 claims description 3
- 239000008272 agar Substances 0.000 claims description 3
- 235000010419 agar Nutrition 0.000 claims description 3
- 229940072056 alginate Drugs 0.000 claims description 3
- 239000000783 alginic acid Substances 0.000 claims description 3
- 229960001126 alginic acid Drugs 0.000 claims description 3
- 150000004781 alginic acids Chemical class 0.000 claims description 3
- 235000019318 cassia gum Nutrition 0.000 claims description 3
- 239000010642 eucalyptus oil Substances 0.000 claims description 3
- 229940044949 eucalyptus oil Drugs 0.000 claims description 3
- 239000010643 fennel seed oil Substances 0.000 claims description 3
- 235000010492 gellan gum Nutrition 0.000 claims description 3
- 239000000216 gellan gum Substances 0.000 claims description 3
- 235000010417 guar gum Nutrition 0.000 claims description 3
- 239000000665 guar gum Substances 0.000 claims description 3
- 229960002154 guar gum Drugs 0.000 claims description 3
- 235000010494 karaya gum Nutrition 0.000 claims description 3
- 239000000231 karaya gum Substances 0.000 claims description 3
- 229940039371 karaya gum Drugs 0.000 claims description 3
- 239000000171 lavandula angustifolia l. flower oil Substances 0.000 claims description 3
- 239000010501 lemon oil Substances 0.000 claims description 3
- 239000004006 olive oil Substances 0.000 claims description 3
- 235000008390 olive oil Nutrition 0.000 claims description 3
- 229960000292 pectin Drugs 0.000 claims description 3
- 150000004804 polysaccharides Chemical class 0.000 claims description 3
- 230000002335 preservative effect Effects 0.000 claims description 3
- 239000010666 rose oil Substances 0.000 claims description 3
- 235000019719 rose oil Nutrition 0.000 claims description 3
- NNMHYFLPFNGQFZ-UHFFFAOYSA-M sodium polyacrylate Chemical compound [Na+].[O-]C(=O)C=C NNMHYFLPFNGQFZ-UHFFFAOYSA-M 0.000 claims description 3
- 239000007787 solid Substances 0.000 claims description 3
- 235000010491 tara gum Nutrition 0.000 claims description 3
- 239000000213 tara gum Substances 0.000 claims description 3
- IXPNQXFRVYWDDI-UHFFFAOYSA-N 1-methyl-2,4-dioxo-1,3-diazinane-5-carboximidamide Chemical compound CN1CC(C(N)=N)C(=O)NC1=O IXPNQXFRVYWDDI-UHFFFAOYSA-N 0.000 claims description 2
- IIZPXYDJLKNOIY-JXPKJXOSSA-N 1-palmitoyl-2-arachidonoyl-sn-glycero-3-phosphocholine Chemical compound CCCCCCCCCCCCCCCC(=O)OC[C@H](COP([O-])(=O)OCC[N+](C)(C)C)OC(=O)CCC\C=C/C\C=C/C\C=C/C\C=C/CCCCC IIZPXYDJLKNOIY-JXPKJXOSSA-N 0.000 claims description 2
- SATHPVQTSSUFFW-UHFFFAOYSA-N 4-[6-[(3,5-dihydroxy-4-methoxyoxan-2-yl)oxymethyl]-3,5-dihydroxy-4-methoxyoxan-2-yl]oxy-2-(hydroxymethyl)-6-methyloxane-3,5-diol Chemical compound OC1C(OC)C(O)COC1OCC1C(O)C(OC)C(O)C(OC2C(C(CO)OC(C)C2O)O)O1 SATHPVQTSSUFFW-UHFFFAOYSA-N 0.000 claims description 2
- HIQIXEFWDLTDED-UHFFFAOYSA-N 4-hydroxy-1-piperidin-4-ylpyrrolidin-2-one Chemical compound O=C1CC(O)CN1C1CCNCC1 HIQIXEFWDLTDED-UHFFFAOYSA-N 0.000 claims description 2
- 239000001904 Arabinogalactan Substances 0.000 claims description 2
- 229920000189 Arabinogalactan Polymers 0.000 claims description 2
- 229920001661 Chitosan Polymers 0.000 claims description 2
- 229920002307 Dextran Polymers 0.000 claims description 2
- 229920001353 Dextrin Polymers 0.000 claims description 2
- 239000004375 Dextrin Substances 0.000 claims description 2
- LYCAIKOWRPUZTN-UHFFFAOYSA-N Ethylene glycol Chemical compound OCCO LYCAIKOWRPUZTN-UHFFFAOYSA-N 0.000 claims description 2
- 108010010803 Gelatin Proteins 0.000 claims description 2
- 229920001479 Hydroxyethyl methyl cellulose Polymers 0.000 claims description 2
- 229920001612 Hydroxyethyl starch Polymers 0.000 claims description 2
- 229920002153 Hydroxypropyl cellulose Polymers 0.000 claims description 2
- 235000019482 Palm oil Nutrition 0.000 claims description 2
- 235000019483 Peanut oil Nutrition 0.000 claims description 2
- 239000004698 Polyethylene Substances 0.000 claims description 2
- 229920001214 Polysorbate 60 Polymers 0.000 claims description 2
- DBMJMQXJHONAFJ-UHFFFAOYSA-M Sodium laurylsulphate Chemical compound [Na+].CCCCCCCCCCCCOS([O-])(=O)=O DBMJMQXJHONAFJ-UHFFFAOYSA-M 0.000 claims description 2
- DPXJVFZANSGRMM-UHFFFAOYSA-N acetic acid;2,3,4,5,6-pentahydroxyhexanal;sodium Chemical compound [Na].CC(O)=O.OCC(O)C(O)C(O)C(O)C=O DPXJVFZANSGRMM-UHFFFAOYSA-N 0.000 claims description 2
- 239000002253 acid Substances 0.000 claims description 2
- 229940023476 agar Drugs 0.000 claims description 2
- 150000005215 alkyl ethers Chemical class 0.000 claims description 2
- 235000019312 arabinogalactan Nutrition 0.000 claims description 2
- 235000014121 butter Nutrition 0.000 claims description 2
- 125000002057 carboxymethyl group Chemical group [H]OC(=O)C([H])([H])[*] 0.000 claims description 2
- 239000008112 carboxymethyl-cellulose Substances 0.000 claims description 2
- 239000004359 castor oil Substances 0.000 claims description 2
- 235000019438 castor oil Nutrition 0.000 claims description 2
- 229920002678 cellulose Polymers 0.000 claims description 2
- 239000001913 cellulose Substances 0.000 claims description 2
- 235000012343 cottonseed oil Nutrition 0.000 claims description 2
- 239000002385 cottonseed oil Substances 0.000 claims description 2
- 235000019425 dextrin Nutrition 0.000 claims description 2
- 150000002148 esters Chemical class 0.000 claims description 2
- 239000008273 gelatin Substances 0.000 claims description 2
- 229920000159 gelatin Polymers 0.000 claims description 2
- 229940014259 gelatin Drugs 0.000 claims description 2
- 235000019322 gelatine Nutrition 0.000 claims description 2
- 235000011852 gelatine desserts Nutrition 0.000 claims description 2
- ZEMPKEQAKRGZGQ-XOQCFJPHSA-N glycerol triricinoleate Natural products CCCCCC[C@@H](O)CC=CCCCCCCCC(=O)OC[C@@H](COC(=O)CCCCCCCC=CC[C@@H](O)CCCCCC)OC(=O)CCCCCCCC=CC[C@H](O)CCCCCC ZEMPKEQAKRGZGQ-XOQCFJPHSA-N 0.000 claims description 2
- 239000001341 hydroxy propyl starch Substances 0.000 claims description 2
- 229940050526 hydroxyethylstarch Drugs 0.000 claims description 2
- 235000010977 hydroxypropyl cellulose Nutrition 0.000 claims description 2
- 239000001863 hydroxypropyl cellulose Substances 0.000 claims description 2
- 235000013828 hydroxypropyl starch Nutrition 0.000 claims description 2
- 235000010445 lecithin Nutrition 0.000 claims description 2
- 239000000787 lecithin Substances 0.000 claims description 2
- 229940067606 lecithin Drugs 0.000 claims description 2
- 229960003511 macrogol Drugs 0.000 claims description 2
- 229920000609 methyl cellulose Polymers 0.000 claims description 2
- 235000010981 methylcellulose Nutrition 0.000 claims description 2
- 239000001923 methylcellulose Substances 0.000 claims description 2
- 235000013336 milk Nutrition 0.000 claims description 2
- 239000008267 milk Substances 0.000 claims description 2
- 210000004080 milk Anatomy 0.000 claims description 2
- IEDOGKKOPNRRKW-UHFFFAOYSA-N octadecyl tetradecanoate Chemical compound CCCCCCCCCCCCCCCCCCOC(=O)CCCCCCCCCCCCC IEDOGKKOPNRRKW-UHFFFAOYSA-N 0.000 claims description 2
- 239000002540 palm oil Substances 0.000 claims description 2
- 239000000312 peanut oil Substances 0.000 claims description 2
- 229920000573 polyethylene Polymers 0.000 claims description 2
- 229920002503 polyoxyethylene-polyoxypropylene Polymers 0.000 claims description 2
- ONQDVAFWWYYXHM-UHFFFAOYSA-M potassium lauryl sulfate Chemical compound [K+].CCCCCCCCCCCCOS([O-])(=O)=O ONQDVAFWWYYXHM-UHFFFAOYSA-M 0.000 claims description 2
- 229940116985 potassium lauryl sulfate Drugs 0.000 claims description 2
- MQOCIYICOGDBSG-UHFFFAOYSA-M potassium;hexadecanoate Chemical compound [K+].CCCCCCCCCCCCCCCC([O-])=O MQOCIYICOGDBSG-UHFFFAOYSA-M 0.000 claims description 2
- 235000010413 sodium alginate Nutrition 0.000 claims description 2
- 239000000661 sodium alginate Substances 0.000 claims description 2
- 229940005550 sodium alginate Drugs 0.000 claims description 2
- 235000019333 sodium laurylsulphate Nutrition 0.000 claims description 2
- 239000008347 soybean phospholipid Substances 0.000 claims description 2
- LADGBHLMCUINGV-UHFFFAOYSA-N tricaprin Chemical compound CCCCCCCCCC(=O)OCC(OC(=O)CCCCCCCCC)COC(=O)CCCCCCCCC LADGBHLMCUINGV-UHFFFAOYSA-N 0.000 claims description 2
- 229940093633 tricaprin Drugs 0.000 claims description 2
- ZEMPKEQAKRGZGQ-VBJOUPRGSA-N triricinolein Chemical compound CCCCCC[C@@H](O)C\C=C/CCCCCCCC(=O)OCC(OC(=O)CCCCCCC\C=C/C[C@H](O)CCCCCC)COC(=O)CCCCCCC\C=C/C[C@H](O)CCCCCC ZEMPKEQAKRGZGQ-VBJOUPRGSA-N 0.000 claims description 2
- 238000009472 formulation Methods 0.000 description 18
- XWAIAVWHZJNZQQ-UHFFFAOYSA-N donepezil hydrochloride Chemical compound [H+].[Cl-].O=C1C=2C=C(OC)C(OC)=CC=2CC1CC(CC1)CCN1CC1=CC=CC=C1 XWAIAVWHZJNZQQ-UHFFFAOYSA-N 0.000 description 16
- 229960003135 donepezil hydrochloride Drugs 0.000 description 13
- 208000024827 Alzheimer disease Diseases 0.000 description 11
- 235000019658 bitter taste Nutrition 0.000 description 10
- 230000008569 process Effects 0.000 description 8
- 235000019640 taste Nutrition 0.000 description 8
- 201000010099 disease Diseases 0.000 description 7
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 7
- 230000000052 comparative effect Effects 0.000 description 6
- 239000003814 drug Substances 0.000 description 6
- 230000000694 effects Effects 0.000 description 6
- 230000035807 sensation Effects 0.000 description 6
- 235000019615 sensations Nutrition 0.000 description 6
- 238000003860 storage Methods 0.000 description 6
- 229960004793 sucrose Drugs 0.000 description 6
- 238000012360 testing method Methods 0.000 description 6
- DGAQECJNVWCQMB-PUAWFVPOSA-M Ilexoside XXIX Chemical compound C[C@@H]1CC[C@@]2(CC[C@@]3(C(=CC[C@H]4[C@]3(CC[C@@H]5[C@@]4(CC[C@@H](C5(C)C)OS(=O)(=O)[O-])C)C)[C@@H]2[C@]1(C)O)C)C(=O)O[C@H]6[C@@H]([C@H]([C@@H]([C@H](O6)CO)O)O)O.[Na+] DGAQECJNVWCQMB-PUAWFVPOSA-M 0.000 description 5
- 239000003795 chemical substances by application Substances 0.000 description 5
- 239000002552 dosage form Substances 0.000 description 5
- 239000000463 material Substances 0.000 description 5
- 230000001575 pathological effect Effects 0.000 description 5
- 239000011734 sodium Substances 0.000 description 5
- 229940083542 sodium Drugs 0.000 description 5
- 229910052708 sodium Inorganic materials 0.000 description 5
- 229940032147 starch Drugs 0.000 description 5
- 208000024891 symptom Diseases 0.000 description 5
- FBPFZTCFMRRESA-FSIIMWSLSA-N D-Glucitol Natural products OC[C@H](O)[C@H](O)[C@@H](O)[C@H](O)CO FBPFZTCFMRRESA-FSIIMWSLSA-N 0.000 description 4
- FBPFZTCFMRRESA-JGWLITMVSA-N D-glucitol Chemical compound OC[C@H](O)[C@@H](O)[C@H](O)[C@H](O)CO FBPFZTCFMRRESA-JGWLITMVSA-N 0.000 description 4
- 206010039966 Senile dementia Diseases 0.000 description 4
- 206010050467 Tongue biting Diseases 0.000 description 4
- 235000013355 food flavoring agent Nutrition 0.000 description 4
- 238000002360 preparation method Methods 0.000 description 4
- 229960004063 propylene glycol Drugs 0.000 description 4
- 239000008213 purified water Substances 0.000 description 4
- 230000009467 reduction Effects 0.000 description 4
- CVHZOJJKTDOEJC-UHFFFAOYSA-N saccharin Chemical compound C1=CC=C2C(=O)NS(=O)(=O)C2=C1 CVHZOJJKTDOEJC-UHFFFAOYSA-N 0.000 description 4
- 229960002920 sorbitol Drugs 0.000 description 4
- 206010012289 Dementia Diseases 0.000 description 3
- GUBGYTABKSRVRQ-PICCSMPSSA-N Maltose Natural products O[C@@H]1[C@@H](O)[C@H](O)[C@@H](CO)O[C@@H]1O[C@@H]1[C@@H](CO)OC(O)[C@H](O)[C@H]1O GUBGYTABKSRVRQ-PICCSMPSSA-N 0.000 description 3
- CZMRCDWAGMRECN-UGDNZRGBSA-N Sucrose Chemical compound O[C@H]1[C@H](O)[C@@H](CO)O[C@@]1(CO)O[C@@H]1[C@H](O)[C@@H](O)[C@H](O)[C@@H](CO)O1 CZMRCDWAGMRECN-UGDNZRGBSA-N 0.000 description 3
- 230000015572 biosynthetic process Effects 0.000 description 3
- KRKNYBCHXYNGOX-UHFFFAOYSA-N citric acid Chemical compound OC(=O)CC(O)(C(O)=O)CC(O)=O KRKNYBCHXYNGOX-UHFFFAOYSA-N 0.000 description 3
- 238000011161 development Methods 0.000 description 3
- 230000018109 developmental process Effects 0.000 description 3
- 229940079593 drug Drugs 0.000 description 3
- 239000012530 fluid Substances 0.000 description 3
- 239000008274 jelly Substances 0.000 description 3
- 238000004519 manufacturing process Methods 0.000 description 3
- 235000010232 propyl p-hydroxybenzoate Nutrition 0.000 description 3
- 239000004405 propyl p-hydroxybenzoate Substances 0.000 description 3
- QELSKZZBTMNZEB-UHFFFAOYSA-N propylparaben Chemical compound CCCOC(=O)C1=CC=C(O)C=C1 QELSKZZBTMNZEB-UHFFFAOYSA-N 0.000 description 3
- 238000003786 synthesis reaction Methods 0.000 description 3
- 239000006188 syrup Substances 0.000 description 3
- 235000020357 syrup Nutrition 0.000 description 3
- NOOLISFMXDJSKH-KXUCPTDWSA-N (-)-Menthol Chemical compound CC(C)[C@@H]1CC[C@@H](C)C[C@H]1O NOOLISFMXDJSKH-KXUCPTDWSA-N 0.000 description 2
- WRMNZCZEMHIOCP-UHFFFAOYSA-N 2-phenylethanol Chemical compound OCCC1=CC=CC=C1 WRMNZCZEMHIOCP-UHFFFAOYSA-N 0.000 description 2
- 108010011485 Aspartame Proteins 0.000 description 2
- 208000006096 Attention Deficit Disorder with Hyperactivity Diseases 0.000 description 2
- 208000036864 Attention deficit/hyperactivity disease Diseases 0.000 description 2
- QFOHBWFCKVYLES-UHFFFAOYSA-N Butylparaben Chemical compound CCCCOC(=O)C1=CC=C(O)C=C1 QFOHBWFCKVYLES-UHFFFAOYSA-N 0.000 description 2
- FBPFZTCFMRRESA-KVTDHHQDSA-N D-Mannitol Chemical compound OC[C@@H](O)[C@@H](O)[C@H](O)[C@H](O)CO FBPFZTCFMRRESA-KVTDHHQDSA-N 0.000 description 2
- 239000004386 Erythritol Substances 0.000 description 2
- UNXHWFMMPAWVPI-UHFFFAOYSA-N Erythritol Natural products OCC(O)C(O)CO UNXHWFMMPAWVPI-UHFFFAOYSA-N 0.000 description 2
- 241000202807 Glycyrrhiza Species 0.000 description 2
- BIVBRWYINDPWKA-VLQRKCJKSA-L Glycyrrhizinate dipotassium Chemical compound [K+].[K+].O([C@@H]1[C@@H](O)[C@H](O)[C@H](O[C@@H]1O[C@H]1CC[C@]2(C)[C@H]3C(=O)C=C4[C@@H]5C[C@](C)(CC[C@@]5(CC[C@@]4(C)[C@]3(C)CC[C@H]2C1(C)C)C)C(O)=O)C([O-])=O)[C@@H]1O[C@H](C([O-])=O)[C@@H](O)[C@H](O)[C@H]1O BIVBRWYINDPWKA-VLQRKCJKSA-L 0.000 description 2
- 244000267823 Hydrangea macrophylla Species 0.000 description 2
- 235000014486 Hydrangea macrophylla Nutrition 0.000 description 2
- 241000124008 Mammalia Species 0.000 description 2
- 229930195725 Mannitol Natural products 0.000 description 2
- ZLMJMSJWJFRBEC-UHFFFAOYSA-N Potassium Chemical compound [K] ZLMJMSJWJFRBEC-UHFFFAOYSA-N 0.000 description 2
- TVXBFESIOXBWNM-UHFFFAOYSA-N Xylitol Natural products OCCC(O)C(O)C(O)CCO TVXBFESIOXBWNM-UHFFFAOYSA-N 0.000 description 2
- 239000000654 additive Substances 0.000 description 2
- 230000000996 additive effect Effects 0.000 description 2
- 230000002411 adverse Effects 0.000 description 2
- 230000032683 aging Effects 0.000 description 2
- 239000000605 aspartame Substances 0.000 description 2
- 235000010357 aspartame Nutrition 0.000 description 2
- IAOZJIPTCAWIRG-QWRGUYRKSA-N aspartame Chemical compound OC(=O)C[C@H](N)C(=O)N[C@H](C(=O)OC)CC1=CC=CC=C1 IAOZJIPTCAWIRG-QWRGUYRKSA-N 0.000 description 2
- 229960003438 aspartame Drugs 0.000 description 2
- 208000015802 attention deficit-hyperactivity disease Diseases 0.000 description 2
- 210000004556 brain Anatomy 0.000 description 2
- 239000006172 buffering agent Substances 0.000 description 2
- 208000013677 cerebrovascular dementia Diseases 0.000 description 2
- OSASVXMJTNOKOY-UHFFFAOYSA-N chlorobutanol Chemical compound CC(C)(O)C(Cl)(Cl)Cl OSASVXMJTNOKOY-UHFFFAOYSA-N 0.000 description 2
- 230000003920 cognitive function Effects 0.000 description 2
- 235000009508 confectionery Nutrition 0.000 description 2
- 230000006735 deficit Effects 0.000 description 2
- 238000013461 design Methods 0.000 description 2
- 229940101029 dipotassium glycyrrhizinate Drugs 0.000 description 2
- 238000005516 engineering process Methods 0.000 description 2
- UNXHWFMMPAWVPI-ZXZARUISSA-N erythritol Chemical compound OC[C@H](O)[C@H](O)CO UNXHWFMMPAWVPI-ZXZARUISSA-N 0.000 description 2
- 235000019414 erythritol Nutrition 0.000 description 2
- 229940009714 erythritol Drugs 0.000 description 2
- CBOQJANXLMLOSS-UHFFFAOYSA-N ethyl vanillin Chemical compound CCOC1=CC(C=O)=CC=C1O CBOQJANXLMLOSS-UHFFFAOYSA-N 0.000 description 2
- NUVBSKCKDOMJSU-UHFFFAOYSA-N ethylparaben Chemical compound CCOC(=O)C1=CC=C(O)C=C1 NUVBSKCKDOMJSU-UHFFFAOYSA-N 0.000 description 2
- 230000037406 food intake Effects 0.000 description 2
- 239000004615 ingredient Substances 0.000 description 2
- 235000015110 jellies Nutrition 0.000 description 2
- 239000000594 mannitol Substances 0.000 description 2
- 235000010355 mannitol Nutrition 0.000 description 2
- 229960001855 mannitol Drugs 0.000 description 2
- HEBKCHPVOIAQTA-UHFFFAOYSA-N meso ribitol Natural products OCC(O)C(O)C(O)CO HEBKCHPVOIAQTA-UHFFFAOYSA-N 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 229910052700 potassium Inorganic materials 0.000 description 2
- 239000011591 potassium Substances 0.000 description 2
- 238000012552 review Methods 0.000 description 2
- 238000007391 self-medication Methods 0.000 description 2
- 239000000243 solution Substances 0.000 description 2
- 238000003756 stirring Methods 0.000 description 2
- 235000000346 sugar Nutrition 0.000 description 2
- 230000009747 swallowing Effects 0.000 description 2
- 239000003826 tablet Substances 0.000 description 2
- 230000000007 visual effect Effects 0.000 description 2
- 239000000811 xylitol Substances 0.000 description 2
- 235000010447 xylitol Nutrition 0.000 description 2
- 229960002675 xylitol Drugs 0.000 description 2
- HEBKCHPVOIAQTA-SCDXWVJYSA-N xylitol Chemical compound OC[C@H](O)[C@@H](O)[C@H](O)CO HEBKCHPVOIAQTA-SCDXWVJYSA-N 0.000 description 2
- HDTRYLNUVZCQOY-UHFFFAOYSA-N α-D-glucopyranosyl-α-D-glucopyranoside Natural products OC1C(O)C(O)C(CO)OC1OC1C(O)C(O)C(O)C(CO)O1 HDTRYLNUVZCQOY-UHFFFAOYSA-N 0.000 description 1
- FTLYMKDSHNWQKD-UHFFFAOYSA-N (2,4,5-trichlorophenyl)boronic acid Chemical compound OB(O)C1=CC(Cl)=C(Cl)C=C1Cl FTLYMKDSHNWQKD-UHFFFAOYSA-N 0.000 description 1
- OWEGMIWEEQEYGQ-UHFFFAOYSA-N 100676-05-9 Natural products OC1C(O)C(O)C(CO)OC1OCC1C(O)C(O)C(O)C(OC2C(OC(O)C(O)C2O)CO)O1 OWEGMIWEEQEYGQ-UHFFFAOYSA-N 0.000 description 1
- PYMYPHUHKUWMLA-UHFFFAOYSA-N 2,3,4,5-tetrahydroxypentanal Chemical compound OCC(O)C(O)C(O)C=O PYMYPHUHKUWMLA-UHFFFAOYSA-N 0.000 description 1
- QCDWFXQBSFUVSP-UHFFFAOYSA-N 2-phenoxyethanol Chemical compound OCCOC1=CC=CC=C1 QCDWFXQBSFUVSP-UHFFFAOYSA-N 0.000 description 1
- QCQCHGYLTSGIGX-GHXANHINSA-N 4-[[(3ar,5ar,5br,7ar,9s,11ar,11br,13as)-5a,5b,8,8,11a-pentamethyl-3a-[(5-methylpyridine-3-carbonyl)amino]-2-oxo-1-propan-2-yl-4,5,6,7,7a,9,10,11,11b,12,13,13a-dodecahydro-3h-cyclopenta[a]chrysen-9-yl]oxy]-2,2-dimethyl-4-oxobutanoic acid Chemical compound N([C@@]12CC[C@@]3(C)[C@]4(C)CC[C@H]5C(C)(C)[C@@H](OC(=O)CC(C)(C)C(O)=O)CC[C@]5(C)[C@H]4CC[C@@H]3C1=C(C(C2)=O)C(C)C)C(=O)C1=CN=CC(C)=C1 QCQCHGYLTSGIGX-GHXANHINSA-N 0.000 description 1
- PVXPPJIGRGXGCY-DJHAAKORSA-N 6-O-alpha-D-glucopyranosyl-alpha-D-fructofuranose Chemical compound O[C@@H]1[C@@H](O)[C@H](O)[C@@H](CO)O[C@@H]1OC[C@@H]1[C@@H](O)[C@H](O)[C@](O)(CO)O1 PVXPPJIGRGXGCY-DJHAAKORSA-N 0.000 description 1
- FHVDTGUDJYJELY-UHFFFAOYSA-N 6-{[2-carboxy-4,5-dihydroxy-6-(phosphanyloxy)oxan-3-yl]oxy}-4,5-dihydroxy-3-phosphanyloxane-2-carboxylic acid Chemical compound O1C(C(O)=O)C(P)C(O)C(O)C1OC1C(C(O)=O)OC(OP)C(O)C1O FHVDTGUDJYJELY-UHFFFAOYSA-N 0.000 description 1
- 102000012440 Acetylcholinesterase Human genes 0.000 description 1
- 108010022752 Acetylcholinesterase Proteins 0.000 description 1
- 208000000044 Amnesia Diseases 0.000 description 1
- PWZKIZAHIAGUMK-UHFFFAOYSA-N CC1CCN(Cc2ccccc2)CC1 Chemical compound CC1CCN(Cc2ccccc2)CC1 PWZKIZAHIAGUMK-UHFFFAOYSA-N 0.000 description 1
- 0 COc(cc(C*C1=O)c1c1)c1OC Chemical compound COc(cc(C*C1=O)c1c1)c1OC 0.000 description 1
- OYPRJOBELJOOCE-UHFFFAOYSA-N Calcium Chemical compound [Ca] OYPRJOBELJOOCE-UHFFFAOYSA-N 0.000 description 1
- 241000282472 Canis lupus familiaris Species 0.000 description 1
- 241000700198 Cavia Species 0.000 description 1
- 240000008886 Ceratonia siliqua Species 0.000 description 1
- 235000013912 Ceratonia siliqua Nutrition 0.000 description 1
- 241000282693 Cercopithecidae Species 0.000 description 1
- 206010048650 Cholinesterase inhibition Diseases 0.000 description 1
- NOOLISFMXDJSKH-UHFFFAOYSA-N DL-menthol Natural products CC(C)C1CCC(C)CC1O NOOLISFMXDJSKH-UHFFFAOYSA-N 0.000 description 1
- 241000282326 Felis catus Species 0.000 description 1
- 240000006927 Foeniculum vulgare Species 0.000 description 1
- 235000004204 Foeniculum vulgare Nutrition 0.000 description 1
- 229930091371 Fructose Natural products 0.000 description 1
- 239000005715 Fructose Substances 0.000 description 1
- RFSUNEUAIZKAJO-ARQDHWQXSA-N Fructose Chemical compound OC[C@H]1O[C@](O)(CO)[C@@H](O)[C@@H]1O RFSUNEUAIZKAJO-ARQDHWQXSA-N 0.000 description 1
- 229920000926 Galactomannan Polymers 0.000 description 1
- WQZGKKKJIJFFOK-GASJEMHNSA-N Glucose Natural products OC[C@H]1OC(O)[C@H](O)[C@@H](O)[C@@H]1O WQZGKKKJIJFFOK-GASJEMHNSA-N 0.000 description 1
- 235000001453 Glycyrrhiza echinata Nutrition 0.000 description 1
- 235000006200 Glycyrrhiza glabra Nutrition 0.000 description 1
- 235000017382 Glycyrrhiza lepidota Nutrition 0.000 description 1
- 208000007514 Herpes zoster Diseases 0.000 description 1
- 241000282412 Homo Species 0.000 description 1
- XPJVKCRENWUEJH-UHFFFAOYSA-N Isobutylparaben Chemical compound CC(C)COC(=O)C1=CC=C(O)C=C1 XPJVKCRENWUEJH-UHFFFAOYSA-N 0.000 description 1
- CMHMMKSPYOOVGI-UHFFFAOYSA-N Isopropylparaben Chemical compound CC(C)OC(=O)C1=CC=C(O)C=C1 CMHMMKSPYOOVGI-UHFFFAOYSA-N 0.000 description 1
- 240000003183 Manihot esculenta Species 0.000 description 1
- 235000016735 Manihot esculenta subsp esculenta Nutrition 0.000 description 1
- 241000699670 Mus sp. Species 0.000 description 1
- 241000282579 Pan Species 0.000 description 1
- 241000288906 Primates Species 0.000 description 1
- 244000046146 Pueraria lobata Species 0.000 description 1
- 235000010575 Pueraria lobata Nutrition 0.000 description 1
- 241000700159 Rattus Species 0.000 description 1
- 241000283984 Rodentia Species 0.000 description 1
- 239000004288 Sodium dehydroacetate Substances 0.000 description 1
- ABBQHOQBGMUPJH-UHFFFAOYSA-M Sodium salicylate Chemical compound [Na+].OC1=CC=CC=C1C([O-])=O ABBQHOQBGMUPJH-UHFFFAOYSA-M 0.000 description 1
- HDTRYLNUVZCQOY-WSWWMNSNSA-N Trehalose Natural products O[C@@H]1[C@@H](O)[C@@H](O)[C@@H](CO)O[C@@H]1O[C@@H]1[C@H](O)[C@@H](O)[C@@H](O)[C@@H](CO)O1 HDTRYLNUVZCQOY-WSWWMNSNSA-N 0.000 description 1
- 241000289690 Xenarthra Species 0.000 description 1
- 229940022698 acetylcholinesterase Drugs 0.000 description 1
- 239000008186 active pharmaceutical agent Substances 0.000 description 1
- 229940086177 acyclovir 800 mg Drugs 0.000 description 1
- 230000002776 aggregation Effects 0.000 description 1
- 238000004220 aggregation Methods 0.000 description 1
- HDTRYLNUVZCQOY-LIZSDCNHSA-N alpha,alpha-trehalose Chemical compound O[C@@H]1[C@@H](O)[C@H](O)[C@@H](CO)O[C@@H]1O[C@@H]1[C@H](O)[C@@H](O)[C@H](O)[C@@H](CO)O1 HDTRYLNUVZCQOY-LIZSDCNHSA-N 0.000 description 1
- 150000003863 ammonium salts Chemical class 0.000 description 1
- 239000007900 aqueous suspension Substances 0.000 description 1
- 229940039856 aricept Drugs 0.000 description 1
- 239000011575 calcium Substances 0.000 description 1
- 229910052791 calcium Inorganic materials 0.000 description 1
- 239000005018 casein Substances 0.000 description 1
- BECPQYXYKAMYBN-UHFFFAOYSA-N casein, tech. Chemical compound NCCCCC(C(O)=O)N=C(O)C(CC(O)=O)N=C(O)C(CCC(O)=N)N=C(O)C(CC(C)C)N=C(O)C(CCC(O)=O)N=C(O)C(CC(O)=O)N=C(O)C(CCC(O)=O)N=C(O)C(C(C)O)N=C(O)C(CCC(O)=N)N=C(O)C(CCC(O)=N)N=C(O)C(CCC(O)=N)N=C(O)C(CCC(O)=O)N=C(O)C(CCC(O)=O)N=C(O)C(COP(O)(O)=O)N=C(O)C(CCC(O)=N)N=C(O)C(N)CC1=CC=CC=C1 BECPQYXYKAMYBN-UHFFFAOYSA-N 0.000 description 1
- 235000021240 caseins Nutrition 0.000 description 1
- 239000007958 cherry flavor Substances 0.000 description 1
- 229960004926 chlorobutanol Drugs 0.000 description 1
- 235000019219 chocolate Nutrition 0.000 description 1
- 230000006949 cholinergic function Effects 0.000 description 1
- 239000000544 cholinesterase inhibitor Substances 0.000 description 1
- RRGUKTPIGVIEKM-UHFFFAOYSA-N cilostazol Chemical compound C=1C=C2NC(=O)CCC2=CC=1OCCCCC1=NN=NN1C1CCCCC1 RRGUKTPIGVIEKM-UHFFFAOYSA-N 0.000 description 1
- 229960004588 cilostazol Drugs 0.000 description 1
- 230000019771 cognition Effects 0.000 description 1
- 230000001149 cognitive effect Effects 0.000 description 1
- 239000000084 colloidal system Substances 0.000 description 1
- 230000003247 decreasing effect Effects 0.000 description 1
- 229940088679 drug related substance Drugs 0.000 description 1
- 206010013781 dry mouth Diseases 0.000 description 1
- BEFDCLMNVWHSGT-UHFFFAOYSA-N ethenylcyclopentane Chemical compound C=CC1CCCC1 BEFDCLMNVWHSGT-UHFFFAOYSA-N 0.000 description 1
- 235000010228 ethyl p-hydroxybenzoate Nutrition 0.000 description 1
- 239000004403 ethyl p-hydroxybenzoate Substances 0.000 description 1
- 229940073505 ethyl vanillin Drugs 0.000 description 1
- 239000000284 extract Substances 0.000 description 1
- 239000008369 fruit flavor Substances 0.000 description 1
- 235000015203 fruit juice Nutrition 0.000 description 1
- 239000008103 glucose Substances 0.000 description 1
- 229960001031 glucose Drugs 0.000 description 1
- 229960005150 glycerol Drugs 0.000 description 1
- 235000012907 honey Nutrition 0.000 description 1
- LTINPJMVDKPJJI-UHFFFAOYSA-N iodinated glycerol Chemical compound CC(I)C1OCC(CO)O1 LTINPJMVDKPJJI-UHFFFAOYSA-N 0.000 description 1
- NFLGAXVYCFJBMK-UHFFFAOYSA-N isomenthone Natural products CC(C)C1CCC(C)CC1=O NFLGAXVYCFJBMK-UHFFFAOYSA-N 0.000 description 1
- 238000002372 labelling Methods 0.000 description 1
- 229940010454 licorice Drugs 0.000 description 1
- 229940069445 licorice extract Drugs 0.000 description 1
- 230000000670 limiting effect Effects 0.000 description 1
- 239000007788 liquid Substances 0.000 description 1
- 239000008297 liquid dosage form Substances 0.000 description 1
- 231100000863 loss of memory Toxicity 0.000 description 1
- 239000008155 medical solution Substances 0.000 description 1
- 229910021645 metal ion Inorganic materials 0.000 description 1
- 235000010270 methyl p-hydroxybenzoate Nutrition 0.000 description 1
- 239000004292 methyl p-hydroxybenzoate Substances 0.000 description 1
- LXCFILQKKLGQFO-UHFFFAOYSA-N methylparaben Chemical compound COC(=O)C1=CC=C(O)C=C1 LXCFILQKKLGQFO-UHFFFAOYSA-N 0.000 description 1
- 229960002216 methylparaben Drugs 0.000 description 1
- 238000002156 mixing Methods 0.000 description 1
- 208000015122 neurodegenerative disease Diseases 0.000 description 1
- 239000007764 o/w emulsion Substances 0.000 description 1
- 229920001542 oligosaccharide Polymers 0.000 description 1
- 150000002482 oligosaccharides Chemical class 0.000 description 1
- 229940041672 oral gel Drugs 0.000 description 1
- 235000005985 organic acids Nutrition 0.000 description 1
- 239000006179 pH buffering agent Substances 0.000 description 1
- 239000002304 perfume Substances 0.000 description 1
- 230000000144 pharmacologic effect Effects 0.000 description 1
- 238000005191 phase separation Methods 0.000 description 1
- 229960005323 phenoxyethanol Drugs 0.000 description 1
- WVDDGKGOMKODPV-ZQBYOMGUSA-N phenyl(114C)methanol Chemical compound O[14CH2]C1=CC=CC=C1 WVDDGKGOMKODPV-ZQBYOMGUSA-N 0.000 description 1
- 229940067107 phenylethyl alcohol Drugs 0.000 description 1
- 229920003023 plastic Polymers 0.000 description 1
- 239000004033 plastic Substances 0.000 description 1
- 229920001451 polypropylene glycol Polymers 0.000 description 1
- 239000000843 powder Substances 0.000 description 1
- 244000062645 predators Species 0.000 description 1
- 230000000750 progressive effect Effects 0.000 description 1
- 239000007898 rapid-disintegration tablet Substances 0.000 description 1
- 230000002829 reductive effect Effects 0.000 description 1
- 238000011160 research Methods 0.000 description 1
- 229940085605 saccharin sodium Drugs 0.000 description 1
- 230000001953 sensory effect Effects 0.000 description 1
- WXMKPNITSTVMEF-UHFFFAOYSA-M sodium benzoate Chemical compound [Na+].[O-]C(=O)C1=CC=CC=C1 WXMKPNITSTVMEF-UHFFFAOYSA-M 0.000 description 1
- 235000010234 sodium benzoate Nutrition 0.000 description 1
- 239000004299 sodium benzoate Substances 0.000 description 1
- 239000001509 sodium citrate Substances 0.000 description 1
- NLJMYIDDQXHKNR-UHFFFAOYSA-K sodium citrate Chemical compound O.O.[Na+].[Na+].[Na+].[O-]C(=O)CC(O)(CC([O-])=O)C([O-])=O NLJMYIDDQXHKNR-UHFFFAOYSA-K 0.000 description 1
- 235000019259 sodium dehydroacetate Nutrition 0.000 description 1
- 229940079839 sodium dehydroacetate Drugs 0.000 description 1
- 229960004025 sodium salicylate Drugs 0.000 description 1
- DSOWAKKSGYUMTF-GZOLSCHFSA-M sodium;(1e)-1-(6-methyl-2,4-dioxopyran-3-ylidene)ethanolate Chemical compound [Na+].C\C([O-])=C1/C(=O)OC(C)=CC1=O DSOWAKKSGYUMTF-GZOLSCHFSA-M 0.000 description 1
- 239000007909 solid dosage form Substances 0.000 description 1
- 235000010199 sorbic acid Nutrition 0.000 description 1
- 239000004334 sorbic acid Substances 0.000 description 1
- 229940075582 sorbic acid Drugs 0.000 description 1
- 239000000758 substrate Substances 0.000 description 1
- 229920003002 synthetic resin Polymers 0.000 description 1
- 239000000057 synthetic resin Substances 0.000 description 1
- 238000010998 test method Methods 0.000 description 1
- 239000008371 vanilla flavor Substances 0.000 description 1
- MWOOGOJBHIARFG-UHFFFAOYSA-N vanillin Chemical compound COC1=CC(C=O)=CC=C1O MWOOGOJBHIARFG-UHFFFAOYSA-N 0.000 description 1
- 235000012141 vanillin Nutrition 0.000 description 1
- FGQOOHJZONJGDT-UHFFFAOYSA-N vanillin Natural products COC1=CC(O)=CC(C=O)=C1 FGQOOHJZONJGDT-UHFFFAOYSA-N 0.000 description 1
- 230000003612 virological effect Effects 0.000 description 1
- 239000007762 w/o emulsion Substances 0.000 description 1
- 239000008215 water for injection Substances 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K9/00—Medicinal preparations characterised by special physical form
- A61K9/0012—Galenical forms characterised by the site of application
- A61K9/0053—Mouth and digestive tract, i.e. intraoral and peroral administration
- A61K9/0056—Mouth soluble or dispersible forms; Suckable, eatable, chewable coherent forms; Forms rapidly disintegrating in the mouth; Lozenges; Lollipops; Bite capsules; Baked products; Baits or other oral forms for animals
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/33—Heterocyclic compounds
- A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
- A61K31/435—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom
- A61K31/44—Non condensed pyridines; Hydrogenated derivatives thereof
- A61K31/445—Non condensed piperidines, e.g. piperocaine
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K9/00—Medicinal preparations characterised by special physical form
- A61K9/06—Ointments; Bases therefor; Other semi-solid forms, e.g. creams, sticks, gels
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K9/00—Medicinal preparations characterised by special physical form
- A61K9/10—Dispersions; Emulsions
- A61K9/107—Emulsions ; Emulsion preconcentrates; Micelles
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P25/00—Drugs for disorders of the nervous system
- A61P25/28—Drugs for disorders of the nervous system for treating neurodegenerative disorders of the central nervous system, e.g. nootropic agents, cognition enhancers, drugs for treating Alzheimer's disease or other forms of dementia
Definitions
- AD Alzheimer's disease
- Clinical presentation of AD is characterized by loss of memory, cognition, reasoning, judgment, and orientation. As the disease progresses, motor, sensory, and linguistic abilities are also affected until there is global impairment of multiple cognitive functions. These cognitive losses occur gradually, but typically lead to severe impairment and eventual death in the range of four to twelve years.
- senile dementia such as Alzheimer-type senile dementia, cerebrovascular dementia, attention deficit hyperactivity disorder and the like are accompanied by a reduction in cholinergic functions in the brain.
- acetylcholinesterase inhibitors are effective as an agent for treating these diseases.
- Donepezil hydrochloride ((i)-2,3-dihydro-5,6-dimethoxy-2-[[1-(phenylmethyl)4-piperidinyl]methyl]-1H-inden-1-one hydrochloride) is now marketed under the trademark Aricept®, and has been in widespread use in the treatment of dementia associated with Alzheimer's and related conditions.
- Donepezil hydrochloride which is the hydrochloride salt of donepezil (CAS#:120014-064) is commonly referred to in the pharmacological literature as E2020, has an empirical formula of C 24 H 29 NO 3 HCl and a molecular weight of 415.96.
- the structural formula of Donepezil hydrochloride is: Donepezil hydrochloride is currently available in tablets, rapid disintegration tablets and liquid dosage formulations.
- the target patients of donepezil hydrochloride include those patients suffering from senile dementia and Alzheimer's disease, whose ability to swallow declines. Also they frequently have the dry mouth symptoms due to aging. Because of their poor cognitive function, it often happens that the target patient population does not remember if they have taken the medicine, particularly when small tablet dosage forms are being employed.
- the general problem is that the solid dosage form is hard to swallow and the liquid dosage form can be ingested incorrectly with adverse consequences, e.g., choking and wrong way administration.
- currently employed dosage formulations are not ideal for a significant portion of the target patient population. Therefore, the ideal dosage form for this medicine that is taken on a daily basis is such that patients can take with ease.
- a gelled composition for oral administration that has the properties of viscoelasticity and smooth texture is appropriate.
- a gelled composition for oral administration that contains donepezil hydrochloride has never been considered.
- donepezil hydrochloride has an unpleasant taste such as bitterness and a tongue-biting sensation, a gelled composition for oral administration that can mask such a taste is desired.
- the subject compositions include a donepezil active agent, e.g., donepezil hydrochloride, in a gelled oral pharmaceutically acceptable vehicle comprising an emulsion of water and oil. Also provided are kits of the subject compositions.
- a donepezil active agent e.g., donepezil hydrochloride
- the inventors of the present invention diligently carried out a research with the problem described above in mind and succeeded in making a gelled composition for oral administration.
- the subject compositions include a donepezil active agent, e.g., donepezil hydrochloride, in a gelled oral pharmaceutically acceptable vehicle comprising an emulsion of oil and water, e.g., a water-in-oil emulsion or an oil-in-water emulsion.
- compositions were made by adding donepezil, gelatinizing agents, thickening agents, sweetening agents and perfume to an emulsion of oil and water and adjusting pH between 3 and 7, which can be easy to swallow with a smooth texture for patients without experiencing an unpleasant taste such as bitterness and a sensation of tongue-biting and which has an effect of raising the patients visual awareness and attention by turning a clear water-soluble gelled composition of donepezil into a white emulsion. So, this invention can improve patient's quality of life. Accordingly, gelled donepezil compositions and methods for making and using the same are provided. Also provided are kits of the subject compositions.
- the subject gel compositions and representative methods for their fabrication are described first in greater detail, followed by a review of representative methods and applications in which the gel compositions find use, as well as a review of representative kits that include the subject gel compositions.
- the subject invention is directed to gelled compositions that include a donepezil active agent, e.g., donepezil or a salt thereof, such as donepezil hydrochloride.
- gel composition is meant a colloid in a more solid form than a sol.
- the strength of the subject compositions may vary, but in representative embodiments ranges from about 20 g/0.8 cm 2 to about 400 g/0.8 cm 2 , such as from about 30 g/0.8 cm 2 to about 350 g/0.8 cm 2 , including from about 40 g/0.8 cm 2 to about 300 g/0.8 cm 2 .
- compositions are storage stable.
- storage stable is meant that the compositions may be stored for extended periods of time without significant phase separation and/or significant reduction in activity of the donepezil active agent.
- the subject compositions are stable for at least about 2 months, such as at least about 4 months, including at least about 6 months or longer, e.g., at least about 1 year, at least about 1.5 years, etc., when maintained at 25° C. and 60% humidity.
- without substantially decreasing the activity of the donepezil active agent is meant that at the end of the storage period, there is less than about 5% reduction in activity of the donepezil active agent compared to the beginning of the storage period.
- a feature of the subject gelled compositions is that they have a pH below that at which donepezil is adversely effected, where the pH is generally less than about 8.0, and in representative embodiments ranges from about 3.0 to about 7.0, such as from about 3.5 to 6.0, and including from about 4.5 to about 5.5.
- the subject compositions include a donepezil active agent.
- donepezil active agent includes donepezil (CAS#:120014-064) or salts there, e.g., donepezil hydrochloride.
- the donepezil active agent may be purchased from commercial sources and produced using any of a variety of known synthesis protocols. Representative synthesis protocols including those synthesis protocols described in or referenced by U.S. Pat. Nos. 6,252,081; 6,245,911; 6,193,993; 6,140,321; 5,985,864; and 4,895,841 the disclosures of which are herein incorporated by reference.
- the amount of donepezil active agent that is present in a given composition is an amount sufficient to administer to a subject an effective amount of the agent when orally delivered to the subject.
- the amount of active agent present may range from about 0.001% to about 10.0% (w/w) or more (e.g., about 15.0%), e.g., from about 0.05% to about 10.0% (w/w), e.g., from about 0.05% to about 5.0% (w/w), e.g., from about 0.05% to about 3.0% (w/w) of the gel composition.
- the active agent is present in an amount ranging from about 0.0025 wt % to about 0.2 wt %.
- a feature of the subject donepezil gel compositions is that the active agent is present in a gelled pharmaceutically acceptable vehicle that includes an emulsion of water and oil.
- emulsion is employed here in its conventional sense to refer to a mixture of two immiscible (unblendable) fluids, where one fluid (an oil or water) (the dispersed phase) is dispersed in the other fluid (an oil or water) (the continuous phase).
- compositions include an emulsion of oil and water
- they include water that may be present in an amount that ranges, in certain embodiments, from about 30% to about 70%, such as from about 40% to about 60%.
- the water may be any convenient water, include deinionized water, water for injection, etc., as is known in the art.
- the oil component of the subject compositions may be any convenient orally acceptable oil or oils.
- Representative oils that may be employed include, but are not limited to: animal/vegetable oils, hardened animal/vegetable oils, fractionated animal/vegetable oils, fatty acid esters (medium-chain fatty acid glyceride, isopropyl myristate, octadecyl myristate), tricaprin, cacao oil, cacao butter, orange oil, soybean phospholipids, palm oil, peanut oil, soybean oil, cottonseed oil, soybean oil mixture, eucalyptus oil, lavender oil, lemon oil, rose oil, mint oil, fennel oil.
- one or more of the above oils may be present, where the total oil content of the formulation, in representative embodiments, ranges from about 0.1 to 45 wt %, such as from about 0.5 to 30 wt %, including from about 1 to 20 wt %.
- the subject compositions also typically include a surfactant. Any convenient orally acceptable surfactant or combination of surfactants may be present in the subject compositions.
- surfactants of interest include, but are not limited to: potassium palmitate, potassium lauryl sulfate, sodium lauryl sulfate, polyoxyethylene alkylethers, polyoxyethylene alkenylethers, polyoxyethylene alkylphenylethers, polyoxyethylene hydrogenated castor oil, polyoxyethylene glycerin fatty acid ester, polyoxyethylene sorbitan fatty acid ester, propylene glycol fatty acid ester, polyglycerin condensed ricinolein acid ester, lecithin, polyoxyethylene polyoxy propylene glycol, polyglycerin fatty acid ester (the olive oil HLB(Hydrophilic-Lipophilic Balance) value is about 10 or lower), sucrose fatty acid ester (the olive oil HLB value is about 10 or lower) and the like.
- the amount of surfactant ranges from about 0.05 to about 25 wt %, such as from about 0.1 to about 20 wt %, including from
- compositions of the invention may also include a gelling agent.
- Gelling agents of interest include, but are not limited to: carrageenan, pectin, agar, alginic acid, sodium alginate, gelatin, mannan, konjak, konjak mannan, glucosic mannan, chitosan, acacia gum, xanthan gum, locust bean gum, tamarind seed polysaccharides, gellan gum, tragacanth gum, karaya gum, cassia gum, tara gum, guar gum, psyllium seed gum, gutti gum, pullulan, low methoxyl pectin, kudzu, casein, tapioca starch, alpha starch.
- the amount of gelling agent present in the composition ranges from about 0.01 to about 10 wt % (e.g., from about 0.01 to about 5.0 wt %); where ranges interest include from about 0.5 to about 10 wt %, such as from about 1 to about 7 wt %, and including from about 2 to about 5 wt %.
- the gelling agent is a carrageenan or pectin.
- the carrageenan may be kappa or iota carrageenan (or combination thereof), but in representative embodiments is not lambda carrageenan.
- the total content of carrageenan, e.g., kappa type or iota type, in the composition of the present invention may range from about 0.5 to about 10 wt % to the total quantity, such as from about 1 to about 7 wt %, and including from about 2 to about 5 wt %.
- Embodiments of the subject compositions also include a thickening agent.
- a thickening agent Any convenient thickening agent may be present, where representative thickening agents of interest include, but are not limited to: acacia gum, tragacanth gum, locust bean gum, dextrin, dextran, arabinogalactan, milk solid, pullulan, alginate propylene glycol ester, hydroxyethyl starch, carboxymethyl starch, hydroxypropyl starch copolydone, polyvinyl alcohol completely saponified, polyvinyl alcohol partially saponified, polyvinyl pyrrolidone, carboxyvinyl polymer, sodium polyacrylate, polyethylene glycolmacrogol, and cellulose or its derivatives such as cellulose gum, carmellose sodium, hydroxypropyl cellulose, hydroxyethyl methyl cellulose, methyl cellulose, carboxymethyl cellulose and copolyvidone, polyvinyl pyrrolidone, carboxyvin
- the amount of thickening agent present in the composition ranges from about 0.01 to about 10 wt % (e.g., from about 0.01 to about 5.0 wt %); where ranges interest include from about 0.5 to about 10 wt %, such as from about 1 to about 7 wt %, and including from about 2 to about 5 wt %.
- locust bean gum a galactomannan polysaccharide which is extracted from carob, is employed in representative embodiments.
- locust bean gum a galactomannan polysaccharide which is extracted from carob, is employed in representative embodiments.
- locust bean gum a galactomannan polysaccharide which is extracted from carob, is employed in representative embodiments.
- locust bean gum a galactomannan polysaccharide which is extracted from carob, is employed in representative embodiments.
- locust bean gum is employed in representative embodiments.
- the gelling agent is carrageenan and/or pect
- the pH of the subject formulations is generally less than about 8.0, and in representative embodiments ranges from about 3.0 to about 7.0, such as from about 3.5 to 6.0, and including from about 4.5 to about 5.5. While any convenient buffering agent(s) may be employed to provide the desired pH, of interest in representative embodiments are cationic inorganic acids, cationic organic acids, or their salts.
- the additive percentage of cation inorganic acid or organic acid salts may range from about 0.1 to about 3%, such as from about 0.2 to about 2.5%, and including from about 0.3 to about 2%.
- the gelling agents contained in the composition of the present invention such as pectin, alginic acid, alginate sodium, mannan, glucosic mannan, carrageenan, xanthan gum, tamarind seed polysaccharides, gellan gum, karaya gum, cassia gum, tara gum, guar gum, psyllium seed gum, and gutti gum become gelled more quickly by coexisting with metal ions such as potassium and calcium and do not separate from water as easily, where the overall effect of the buffering agent is to adjust the texture of the composition when it is taken orally.
- metal ions such as potassium and calcium
- cation inorganic acid or organic acid salts to the total additive quantity of the gelatinizing agents may range from about 1 to about 600 wt %, such as from about 1.5 to about 300 wt %, and including from about 2 to about 150 wt %.
- the gelled composition of the present invention can contain polyols, sweetening agents, flavoring agent and preservatives, e.g., as desired to adjust the taste, the smell, the texture and/or the ease of swallowing the composition by the subject.
- Polyols of interest include, but are not limited to: glycerin, propylene glycol, D-sorbitol, xylitol, mannitol, erythritol and sucrose.
- Sweetening agents of interest include but are not limited to: saccharine or glycyrrhiza, as well as sodium, potassium and ammonium salts thereof, e.g., saccharine sodium, dipotassium glycyrrhizinate, etc., which extraordinarily improves bitterness and a paralyzing sensation in an aqueous suspension, as well as aspartame, D-sorbitol, xylitol, mannitol, erythritol and sucrose.
- the blending concentration of these sweetening agents is, in representative embodiments, about 0.01 wt % or more, such as about 0.025 wt % or more.
- fructose a proper quantity of refined sucrose, palatinose, trehalose, oligosaccharide, aspartame, isomerized sugar, muscovado, saccharine, saccharin sodium, sweet hydrangea leaf, powdered sweet hydrangea leaf, steviocide, licorice, licorice extract, glucose, starch syrup, maltose syrup powder, reduced malt sugar starch syrup, Kanbaiko may be present.
- flavoring agents of interest include, but are not limited to: fennel, fennel oil, orange, orange extract, orange essence, orange oil, mint water, mint oil, honey, d-balneol, dl-menthol, l-menthol, eucalyptus oil, lavender oil, lemon oil, rose oil, sugar flavor, vanilla flavor, vanillin, chocolate flavorA22736, fruit flavor, cherry flavor, ethyl vanillin and various types of fruit juice.
- the quantity of the flavoring agent can be small.
- any convenient preservative may be present, where representative preservatives include, but are not limited to: sodium benzoate, edentate sodium, sodium salicylate, sorbic acid, sodium dehydroacetate, isobutyl parahydroxybenzoate, isopropyl parahydroxybenzoate, ethyl parahydroxybenzoate, butyl parahydroxybenzoate, propyl parahydroxybenzoate, methyl parahydroxybenzoate, chlorobutanol, benzyl alcohol, phenylethyl alcohol and phenoxyethanol.
- the quantity of the preservative added may be readily determined based on the conventional quantity range for oral administration, as is known in the art.
- compositions of the present invention can be manufactured by adding the donepezil active agent, gelling agents, thickening agents, sweetening agents and flavorants to an emulsion of oil and water and ensuring that the pH is adjusted to the desired range, e.g., between about 3 and about 7.
- the subject gelled compositions are present in single dosage form.
- the amount of composition that makes up the single dosage form may vary, but in representative embodiments ranges from about 0.5 g to about 40 g, such as from about 1 g to about 30 g, including from about 2 g to about 20 g.
- the single dosage formulations of these embodiments may be packaged, e.g., in disposable packaging, e.g., for self-medication.
- the single dosage formulations are present in a sealed pouch, e.g., made of a polymeric material, (for example a sealed pouch having a “pillow” configuration) where the pouch may include a quantity of gas to assist in delivery of the formulation from the pouch to the subject upon use (described in Patent:JP2000-256181).
- a sealed pouch e.g., made of a polymeric material, (for example a sealed pouch having a “pillow” configuration) where the pouch may include a quantity of gas to assist in delivery of the formulation from the pouch to the subject upon use (described in Patent:JP2000-256181).
- Another convenient disposable packaging format that may be employed is the format disclosed in U.S. Pat. No. 5,932,235, the disclosure of which is herein incorporated by reference.
- the packaging format includes a disposable container, e.g., which is made of a synthetic resin, composed of a shell being deformable under forcing and capable of containing the gelled composition for oral administration therein, a ring neck with a small diameter connected to the shell, and a handle serving as the closed end of the neck and connected to the neck in a breakable manner, wherein the neck is opened to provide a spout for pouring the gelled medical composition for oral administration when the handle is broken away from the neck.
- a disposable container e.g., which is made of a synthetic resin, composed of a shell being deformable under forcing and capable of containing the gelled composition for oral administration therein, a ring neck with a small diameter connected to the shell, and a handle serving as the closed end of the neck and connected to the neck in a breakable manner, wherein the neck is opened to provide a spout for pouring the gelled medical composition for oral administration when the handle is broken away from the neck.
- the subject gel compositions find use in the oral administration of donepezil to a subject.
- oral administration is meant delivery via the mouth of the subject.
- a dosage of the donepezil gel composition is introduced into the mouth of the subject and ingested.
- the packaging is opened and the dosage formulation present therein is removed and introduced into the mouth for ingestion, e.g., by swallowing.
- donepezil gel compositions and methods find use in any application in which the administration of donepezil to a subject is desired.
- subjects are “mammals” or “mammalian,” where these terms are used broadly to describe organisms which are within the class mammalia, including the orders carnivore (e.g., dogs and cats), rodentia (e.g., mice, guinea pigs, and rats), and primates (e.g., humans, chimpanzees, and monkeys).
- the hosts will be humans.
- the subject methods find use in the treatment of a disease condition.
- treatment is meant at least an amelioration of the symptoms associated with the pathological condition afflicting the subject, where amelioration is used in a broad sense to refer to at least a reduction in the magnitude of a parameter, e.g. symptom, associated with the pathological condition being treated, such as viral load or side effects associated therewith.
- treatment also includes situations where the pathological condition, or at least symptoms associated therewith, are completely inhibited, e.g. prevented from happening, or stopped, e.g. terminated, such that the host no longer suffers from the pathological condition, or at least the symptoms that characterize the pathological condition.
- treatment includes both curing and managing a disease condition.
- Representative disease conditions in which the subject compositions find use include, but are not limited to, disease conditions in which acetyl-cholinesterase inhibition is desired.
- the subject compositions find use in the treatment of dementia, such as senile dementia, cerebrovascular dementia or attention deficit hyperactivity disorder.
- the subject compositions find use in the treatment of Alzheimer type senile dementia.
- kits where the subject kits at least include a donepezil gel composition, as described above.
- the subject gel composition in the kits may be present in a package, as described above.
- Kits may include the donepezil gel composition in an amount suitable for a single application or multiple applications. In instances in which gel composition is present in a kit in an amount sufficient for more than one application, multiple packages, as described above, may be provided with each containing an amount of gel composition for a single application.
- the subject kits may also include instructions for how to use the compositions in methods of donepezil delivery to a subject.
- the instructions may include information about dosing schedules etc., and/or how to use packaged gel compositions.
- the subject kits include instructions on how to use the gel compositions to treat a particular disease condition, e.g., dementia.
- the instructions may be recorded on a suitable recording medium.
- the instructions may be printed on a substrate, such as paper or plastic, etc.
- the instructions may be present in the kits as a package insert, in the labeling of the container of the kit or components thereof (i.e. associated with the packaging or subpackaging) etc.
- the instructions are present as an electronic storage data file present on a suitable computer readable storage medium, e.g. CD-ROM, diskette, etc.
- the necessary amount of purified water (K) and glycerin (D) are placed in a preparation tank, and components A, C and F are dissolved in the solution of water and glycerin while being heated. Next, components B are added and stirred and emulsify. Then, components E and G added under stirring to the emulsion at 80 to 90° C. so that they are dissolved and dispersed in the emulsion. Component J is added and dispersed, and the resultant composition is sterilized with heat.
- a disposable container is filled with a unit dose of 3 g and chilled to make a product and individually packed unit dosage of the gelled donepezil formulation.
- T-02 (Com- T-03 parative (Comparative Ingredient T-01 example) Example)
- a Donepezil hydrochloride 0.1 0.1 0.1 B Orange oil 0.45 — — Medium-chain fatty acid 10 — — triglyceride
- C Sucrose fatty acid ester 0.355 — — Polyoxyethylene 0.845 — — polyoxypropylene glycol
- D Glycerin 13.5 13.5 13.5
- Propyl parahydroxybenzoate 0.015 0.015 0.015 G D-Sorbitol 30 38 38 J
- T-02 is a gelled medicinal composition for oral administration containing no oil and no emulsion of the present invention.
- T-03 is a medical solution composition for oral administration containing no oil, no emulsion and no gelling agent of the present invention.
- T-01 (Practical example) score was 3.94
- T-02(Comparative example) score was 3.63
- T-03(Comparative example) score was 2.88.
- the results demonstrate that the bitterness and tongue-biting sensation of donepezil, which is the base of the present invention, is remarkably masked. Since the present invention masks the unpleasant taste of the drug substance and it is a creamy gelled formulation that is easy for oral administration, it can be provided to patients suffering from senile dementia and Alzheimer's disease, to whom donepezil is administered for a long period of time.
- the 1 st process Prepare necessary amount of water and polyol in a preparation tank.
- the 2 nd process Add donepezil, surfactants, preservatives, pH buffering agents in a tank while being heated.
- the 4 th process Gelling agents, thickening agents and sweetening agents are added to make the emulsion.
- Flavor is added and dispersed.
- the 6 th process The resultant composition is sterilized with heat.
- a disposable container is filled with resultant gelled composition and chilled it to make a product.
- the subject invention provides an important new donepezil gel composition.
- Advantages of the subject compositions include ease of ingestion by patients without experiencing an unpleasant taste, such as bitterness and paralyzing sensation.
- the compositions enhance the patient's visual awareness and attention by turning a clear water-soluble gelled composition of donepezil and/or its salts into a white emulsion.
- the compositions are well-suited for self-medication. As such, the subject invention represents a significant contribution to the art.
Landscapes
- Health & Medical Sciences (AREA)
- Veterinary Medicine (AREA)
- Life Sciences & Earth Sciences (AREA)
- Chemical & Material Sciences (AREA)
- Medicinal Chemistry (AREA)
- Public Health (AREA)
- General Health & Medical Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- Pharmacology & Pharmacy (AREA)
- Epidemiology (AREA)
- Neurosurgery (AREA)
- Nutrition Science (AREA)
- Physiology (AREA)
- Zoology (AREA)
- Engineering & Computer Science (AREA)
- Dispersion Chemistry (AREA)
- Neurology (AREA)
- Bioinformatics & Cheminformatics (AREA)
- Biomedical Technology (AREA)
- Hospice & Palliative Care (AREA)
- Psychiatry (AREA)
- Chemical Kinetics & Catalysis (AREA)
- Organic Chemistry (AREA)
- General Chemical & Material Sciences (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
- Medicinal Preparation (AREA)
Abstract
Gelled donepezil compositions and methods for making and using the same are provided. The subject compositions include a donepezil active agent in a gelled oral pharmaceutically acceptable vehicle comprising an emulsion of water and oil. Also provided are kits of the subject compositions.
Description
- Pursuant to 35 U.S.C. § 119 (e), this application claims priority to the filing dates of: U.S. Provisional Patent Application Ser. No. 60/704,104 filed Jul. 28, 2005; the disclosures of which is herein incorporated by reference.
- Alzheimer's disease (AD) is a progressive degenerative disease of the brain primarily associated with aging. Clinical presentation of AD is characterized by loss of memory, cognition, reasoning, judgment, and orientation. As the disease progresses, motor, sensory, and linguistic abilities are also affected until there is global impairment of multiple cognitive functions. These cognitive losses occur gradually, but typically lead to severe impairment and eventual death in the range of four to twelve years.
- It has been known that senile dementia such as Alzheimer-type senile dementia, cerebrovascular dementia, attention deficit hyperactivity disorder and the like are accompanied by a reduction in cholinergic functions in the brain. At present, it has been recognized that acetylcholinesterase inhibitors are effective as an agent for treating these diseases.
- Donepezil hydrochloride ((i)-2,3-dihydro-5,6-dimethoxy-2-[[1-(phenylmethyl)4-piperidinyl]methyl]-1H-inden-1-one hydrochloride) is now marketed under the trademark Aricept®, and has been in widespread use in the treatment of dementia associated with Alzheimer's and related conditions. Donepezil hydrochloride, which is the hydrochloride salt of donepezil (CAS#:120014-064) is commonly referred to in the pharmacological literature as E2020, has an empirical formula of C24H29NO3HCl and a molecular weight of 415.96. The structural formula of Donepezil hydrochloride is:
Donepezil hydrochloride is currently available in tablets, rapid disintegration tablets and liquid dosage formulations. - The target patients of donepezil hydrochloride include those patients suffering from senile dementia and Alzheimer's disease, whose ability to swallow declines. Also they frequently have the dry mouth symptoms due to aging. Because of their poor cognitive function, it often happens that the target patient population does not remember if they have taken the medicine, particularly when small tablet dosage forms are being employed. The general problem is that the solid dosage form is hard to swallow and the liquid dosage form can be ingested incorrectly with adverse consequences, e.g., choking and wrong way administration. As such, currently employed dosage formulations are not ideal for a significant portion of the target patient population. Therefore, the ideal dosage form for this medicine that is taken on a daily basis is such that patients can take with ease. For such a dosage form, a gelled composition for oral administration that has the properties of viscoelasticity and smooth texture is appropriate. However, a gelled composition for oral administration that contains donepezil hydrochloride has never been considered. In addition, since donepezil hydrochloride has an unpleasant taste such as bitterness and a tongue-biting sensation, a gelled composition for oral administration that can mask such a taste is desired.
- References of Interest
- Published patent literature of interest includes: U.S. Pat. Nos. 6,576,677, 6,252,081, 6,245,911, 6,193,993, 5,932,235, 4,895,841, 5,985,864, 6,140,321, US2004/0002517, US2004/0002517, US2004/0214863, JP 2004-217639, JP H11-228450, JP 2001-270821, JP H11-106354, JP H11-106353, JP H11-228450, JP H11-106354, JP 2005-15486, JP 2005-29541, JP 2005-41887, JP 2005-112825, JP 2005-126374, JP 2005-130791, JP 2005-132803, JP 2005-194230, JP 2005-194231, JP 2004-000496, JP 2004-10552, JP 200443450, JP 2004-73035, JP 2004-83523, JP 2004-174202, JP 2004-189706, JP 2004-217639, JP 2004-292316, JP 2004-292383, JP 2004-321249, JP 2004-359597, JP 2003-12507, JP 2003-26683, JP 2003-89631, JP 2003-137773, JP 2003-210553, JP 2003-277255, JP 2003-284739, JP 2002-179558, JP 2002-193807, JP 2002-193911, JP 2002-255796, JP 2002-255819, JP 2002-255820, JP 2002-322085, JP 2002-326934, JP 2001-139547, JP 2001-270821, JP 2001-302497, JP 2001-342151, JP 2000-136134, JP 2000-136183, JP 2000-143627, JP 2000-319257, JP 2000-319258, JP 2000-327590, JP H11-92402, JP H11-106353, JP H11-106354, JP H11-171861, JP H11-228450, JP H11-263774, JP H11-315016, JP H10-53576, JP H10-120553, PCT/JP99/04616 published as WO/2000/012135, PCT/JP01/05714 published as WO/2002/002526, W02001/064190, WO2004/002402, WO2002/026709, WO 2003/000261, WO2003/006013, WO2003/006423, WO2002/100399, WO2003/006453, WO2003/035137, WO2003/020370, WO2003/030886, WO2003/050073, WO2002/034915, WO2003/027068, WO2003/043987, WO2003/045378, WO2003/047576, WO2003/072535, WO2003/043618, WO2003/040096, WO2002/002506, WO2002/034237, WO2002/096415, WO2002/100818, WO2002/100856, WO2002/094768, WO2002/100820, WO2004/006021, WO2001/066114, WO2001/070672, WO1999/65489, WO1998/34615, WO2002/02526, WO2002/24167, WO2002/26709, WO2002/45715, WO2002/69942, WO2002/96370, WO2002/100384, WO2003/32960, WO2003/61658, WO2003/66100, WO2000/48580, WO2000/54811, WO2001/64190, WO2001/78728, WO2001/98271, WO1999/29668, WO2004/092137, WO2004/087660, WO2004/016589, WO2004/000317, and WO2002/26709.
- Publications of interest include: Mukaiet al., “Clinical Efficacy of Acyclovir 800 mg Oral Administration of Jelly Type Drug on Herpes Zoster—Phase III Open Study,”JPN Pharmacol. Ther (2001) 29:347-361; Sakashita et al., “Clinical usefulness of jelly preparation , new formulation for medicinal drug,” Pharm. Tech. Japan (2003) 19:157-167; Dairaku & Togashi, “Development of Air Push Jelly Formulation and packaging Design,”JPI Journal (2003) 41:26-31; Dairaku, “Development of Air Push Jelly Formulation and It's packaging Design,”Convertech. (2003) 366:126-127; Dairaku & Togashi, “Oral Jelly Formulation For Ciloslet (TN) 50 mg and 100 mg (Generic Name, Cilostazol), Antiplatelat Aggregation Agent,” Journal of Neuro-Internal Medicine in Latest Available Medicine 30 (Technology and Academic Study Reference, 2004); and Dairaku & Togashi, “Development of Air-Push-Type-Jelly Formulation,” Journal of pharmaceutical science and technology. Japan (2005) 65:209-214.
- Gelled Donepezil compositions and methods for making and using the same are provided. The subject compositions include a donepezil active agent, e.g., donepezil hydrochloride, in a gelled oral pharmaceutically acceptable vehicle comprising an emulsion of water and oil. Also provided are kits of the subject compositions.
- Before the present invention is described in greater detail, it is to be understood that this invention is not limited to particular embodiments described, as such may, of course, vary. It is also to be understood that the terminology used herein is for the purpose of describing particular embodiments only, and is not intended to be limiting, since the scope of the present invention will be limited only by the appended claims.
- Where a range of values is provided, it is understood that each intervening value, to the tenth of the unit of the lower limit unless the context clearly dictates otherwise, between the upper and lower limit of that range and any other stated or intervening value in that stated range is encompassed within the invention. The upper and lower limits of these smaller ranges may independently be included in the smaller ranges is also encompassed within the invention, subject to any specifically excluded limit in the stated range. Where the stated range includes one or both of the limits, ranges excluding either or both of those included limits are also included in the invention.
- Unless defined otherwise, all technical and scientific terms used herein have the same meaning as commonly understood by one of ordinary skill in the art to which this invention belongs. Although any methods and materials similar or equivalent to those described herein can also be used in the practice or testing of the present invention, the preferred methods and materials are now described. All publications mentioned herein are incorporated herein by reference to disclose and describe the methods and/or materials in connection with which the publications are cited.
- It must be noted that as used herein and in the appended claims, the singular forms “a”, “an”, and “the” include plural referents unless the context clearly dictates otherwise. It is further noted that the claims may be drafted to exclude any optional element. As such, this statement is intended to serve as antecedent basis for use of such exclusive terminology as “solely,” “only” and the like in connection with the recitation of claim elements, or use of a “negative” limitation.
- The publications discussed herein are provided solely for their disclosure prior to the filing date of the present application. Nothing herein is to be construed as an admission that the present invention is not entitled to antedate such publication by virtue of prior invention. Further, the dates of publication provided may be different from the actual publication dates which may need to be independently confirmed.
- As will be apparent to those of skill in the art upon reading this disclosure, each of the individual embodiments described and illustrated herein has discrete components and features which may be readily separated from or combined with the features of any of the other several embodiments without departing from the scope or spirit of the present invention.
- The inventors of the present invention diligently carried out a research with the problem described above in mind and succeeded in making a gelled composition for oral administration. The subject compositions include a donepezil active agent, e.g., donepezil hydrochloride, in a gelled oral pharmaceutically acceptable vehicle comprising an emulsion of oil and water, e.g., a water-in-oil emulsion or an oil-in-water emulsion. One embodiment of the composition was made by adding donepezil, gelatinizing agents, thickening agents, sweetening agents and perfume to an emulsion of oil and water and adjusting pH between 3 and 7, which can be easy to swallow with a smooth texture for patients without experiencing an unpleasant taste such as bitterness and a sensation of tongue-biting and which has an effect of raising the patients visual awareness and attention by turning a clear water-soluble gelled composition of donepezil into a white emulsion. So, this invention can improve patient's quality of life. Accordingly, gelled donepezil compositions and methods for making and using the same are provided. Also provided are kits of the subject compositions.
- In further describing the subject invention, the subject gel compositions and representative methods for their fabrication are described first in greater detail, followed by a review of representative methods and applications in which the gel compositions find use, as well as a review of representative kits that include the subject gel compositions.
- Gelled Donepezil Compositions
- As summarized above, the subject invention is directed to gelled compositions that include a donepezil active agent, e.g., donepezil or a salt thereof, such as donepezil hydrochloride. By “gel composition”. is meant a colloid in a more solid form than a sol. The strength of the subject compositions may vary, but in representative embodiments ranges from about 20 g/0.8 cm2 to about 400 g/0.8 cm2, such as from about 30 g/0.8 cm2 to about 350 g/0.8 cm2, including from about 40 g/0.8 cm2 to about 300 g/0.8 cm2.
- A feature of the subject gel compositions is that the compositions are storage stable. By storage stable is meant that the compositions may be stored for extended periods of time without significant phase separation and/or significant reduction in activity of the donepezil active agent. In representative embodiments, the subject compositions are stable for at least about 2 months, such as at least about 4 months, including at least about 6 months or longer, e.g., at least about 1 year, at least about 1.5 years, etc., when maintained at 25° C. and 60% humidity. By the phrase “without substantially decreasing the activity of the donepezil active agent” is meant that at the end of the storage period, there is less than about 5% reduction in activity of the donepezil active agent compared to the beginning of the storage period.
- A feature of the subject gelled compositions is that they have a pH below that at which donepezil is adversely effected, where the pH is generally less than about 8.0, and in representative embodiments ranges from about 3.0 to about 7.0, such as from about 3.5 to 6.0, and including from about 4.5 to about 5.5.
- As mentioned above, the subject compositions include a donepezil active agent. The term “donepezil active agent” includes donepezil (CAS#:120014-064) or salts there, e.g., donepezil hydrochloride. The donepezil active agent may be purchased from commercial sources and produced using any of a variety of known synthesis protocols. Representative synthesis protocols including those synthesis protocols described in or referenced by U.S. Pat. Nos. 6,252,081; 6,245,911; 6,193,993; 6,140,321; 5,985,864; and 4,895,841 the disclosures of which are herein incorporated by reference. The amount of donepezil active agent that is present in a given composition is an amount sufficient to administer to a subject an effective amount of the agent when orally delivered to the subject. In certain embodiments, the amount of active agent present may range from about 0.001% to about 10.0% (w/w) or more (e.g., about 15.0%), e.g., from about 0.05% to about 10.0% (w/w), e.g., from about 0.05% to about 5.0% (w/w), e.g., from about 0.05% to about 3.0% (w/w) of the gel composition. In certain embodiments, the active agent is present in an amount ranging from about 0.0025 wt % to about 0.2 wt %.
- A feature of the subject donepezil gel compositions is that the active agent is present in a gelled pharmaceutically acceptable vehicle that includes an emulsion of water and oil. The term emulsion is employed here in its conventional sense to refer to a mixture of two immiscible (unblendable) fluids, where one fluid (an oil or water) (the dispersed phase) is dispersed in the other fluid (an oil or water) (the continuous phase).
- As the subject compositions include an emulsion of oil and water, they include water that may be present in an amount that ranges, in certain embodiments, from about 30% to about 70%, such as from about 40% to about 60%. The water may be any convenient water, include deinionized water, water for injection, etc., as is known in the art.
- The oil component of the subject compositions may be any convenient orally acceptable oil or oils. Representative oils that may be employed include, but are not limited to: animal/vegetable oils, hardened animal/vegetable oils, fractionated animal/vegetable oils, fatty acid esters (medium-chain fatty acid glyceride, isopropyl myristate, octadecyl myristate), tricaprin, cacao oil, cacao butter, orange oil, soybean phospholipids, palm oil, peanut oil, soybean oil, cottonseed oil, soybean oil mixture, eucalyptus oil, lavender oil, lemon oil, rose oil, mint oil, fennel oil. As is known in the art, one or more of the above oils may be present, where the total oil content of the formulation, in representative embodiments, ranges from about 0.1 to 45 wt %, such as from about 0.5 to 30 wt %, including from about 1 to 20 wt %.
- The subject compositions also typically include a surfactant. Any convenient orally acceptable surfactant or combination of surfactants may be present in the subject compositions.
- Representative surfactants of interest include, but are not limited to: potassium palmitate, potassium lauryl sulfate, sodium lauryl sulfate, polyoxyethylene alkylethers, polyoxyethylene alkenylethers, polyoxyethylene alkylphenylethers, polyoxyethylene hydrogenated castor oil, polyoxyethylene glycerin fatty acid ester, polyoxyethylene sorbitan fatty acid ester, propylene glycol fatty acid ester, polyglycerin condensed ricinolein acid ester, lecithin, polyoxyethylene polyoxy propylene glycol, polyglycerin fatty acid ester (the olive oil HLB(Hydrophilic-Lipophilic Balance) value is about 10 or lower), sucrose fatty acid ester (the olive oil HLB value is about 10 or lower) and the like. In representative embodiments, the amount of surfactant ranges from about 0.05 to about 25 wt %, such as from about 0.1 to about 20 wt %, including from about 0.5 to about 10 wt %.
- Compositions of the invention may also include a gelling agent. Representative gelling agents of interest include, but are not limited to: carrageenan, pectin, agar, alginic acid, sodium alginate, gelatin, mannan, konjak, konjak mannan, glucosic mannan, chitosan, acacia gum, xanthan gum, locust bean gum, tamarind seed polysaccharides, gellan gum, tragacanth gum, karaya gum, cassia gum, tara gum, guar gum, psyllium seed gum, gutti gum, pullulan, low methoxyl pectin, kudzu, casein, tapioca starch, alpha starch. In representative embodiments, the amount of gelling agent present in the composition ranges from about 0.01 to about 10 wt % (e.g., from about 0.01 to about 5.0 wt %); where ranges interest include from about 0.5 to about 10 wt %, such as from about 1 to about 7 wt %, and including from about 2 to about 5 wt %.
- In representative embodiments, e.g., where locust bean gum is employed as a thickening agent (as reviewed in greater detail below), the gelling agent is a carrageenan or pectin. In those embodiments where the gelling agent includes a carrageenan, the carrageenan may be kappa or iota carrageenan (or combination thereof), but in representative embodiments is not lambda carrageenan. The total content of carrageenan, e.g., kappa type or iota type, in the composition of the present invention may range from about 0.5 to about 10 wt % to the total quantity, such as from about 1 to about 7 wt %, and including from about 2 to about 5 wt %.
- Embodiments of the subject compositions also include a thickening agent. Any convenient thickening agent may be present, where representative thickening agents of interest include, but are not limited to: acacia gum, tragacanth gum, locust bean gum, dextrin, dextran, arabinogalactan, milk solid, pullulan, alginate propylene glycol ester, hydroxyethyl starch, carboxymethyl starch, hydroxypropyl starch copolydone, polyvinyl alcohol completely saponified, polyvinyl alcohol partially saponified, polyvinyl pyrrolidone, carboxyvinyl polymer, sodium polyacrylate, polyethylene glycolmacrogol, and cellulose or its derivatives such as cellulose gum, carmellose sodium, hydroxypropyl cellulose, hydroxyethyl methyl cellulose, methyl cellulose, carboxymethyl cellulose and copolyvidone, polyvinyl pyrrolidone, carboxyvinyl polymer, polyacrylic acid or partially neutralized polyacrylic acid, or salt and macrogol, etc.
- In representative embodiments, the amount of thickening agent present in the composition ranges from about 0.01 to about 10 wt % (e.g., from about 0.01 to about 5.0 wt %); where ranges interest include from about 0.5 to about 10 wt %, such as from about 1 to about 7 wt %, and including from about 2 to about 5 wt %. Among the thickening agents described above, locust bean gum, a galactomannan polysaccharide which is extracted from carob, is employed in representative embodiments. Of particular interest is the use of locust bean gum when the gelling agent is carrageenan and/or pectin.
- As reviewed above, the pH of the subject formulations is generally less than about 8.0, and in representative embodiments ranges from about 3.0 to about 7.0, such as from about 3.5 to 6.0, and including from about 4.5 to about 5.5. While any convenient buffering agent(s) may be employed to provide the desired pH, of interest in representative embodiments are cationic inorganic acids, cationic organic acids, or their salts. The additive percentage of cation inorganic acid or organic acid salts may range from about 0.1 to about 3%, such as from about 0.2 to about 2.5%, and including from about 0.3 to about 2%.
- In representative embodiments, the gelling agents contained in the composition of the present invention such as pectin, alginic acid, alginate sodium, mannan, glucosic mannan, carrageenan, xanthan gum, tamarind seed polysaccharides, gellan gum, karaya gum, cassia gum, tara gum, guar gum, psyllium seed gum, and gutti gum become gelled more quickly by coexisting with metal ions such as potassium and calcium and do not separate from water as easily, where the overall effect of the buffering agent is to adjust the texture of the composition when it is taken orally. In this case, cation inorganic acid or organic acid salts to the total additive quantity of the gelatinizing agents may range from about 1 to about 600 wt %, such as from about 1.5 to about 300 wt %, and including from about 2 to about 150 wt %.
- As described above, the gelled composition of the present invention can contain polyols, sweetening agents, flavoring agent and preservatives, e.g., as desired to adjust the taste, the smell, the texture and/or the ease of swallowing the composition by the subject.
- Polyols of interest include, but are not limited to: glycerin, propylene glycol, D-sorbitol, xylitol, mannitol, erythritol and sucrose.
- Sweetening agents of interest include but are not limited to: saccharine or glycyrrhiza, as well as sodium, potassium and ammonium salts thereof, e.g., saccharine sodium, dipotassium glycyrrhizinate, etc., which extraordinarily improves bitterness and a paralyzing sensation in an aqueous suspension, as well as aspartame, D-sorbitol, xylitol, mannitol, erythritol and sucrose. The blending concentration of these sweetening agents is, in representative embodiments, about 0.01 wt % or more, such as about 0.025 wt % or more. Furthermore, in order to make the taste a little milder, fructose, a proper quantity of refined sucrose, palatinose, trehalose, oligosaccharide, aspartame, isomerized sugar, muscovado, saccharine, saccharin sodium, sweet hydrangea leaf, powdered sweet hydrangea leaf, steviocide, licorice, licorice extract, glucose, starch syrup, maltose syrup powder, reduced malt sugar starch syrup, Kanbaiko may be present.
- Any convenient or desirable flavoring agent may be present, where representative flavoring agents of interest include, but are not limited to: fennel, fennel oil, orange, orange extract, orange essence, orange oil, mint water, mint oil, honey, d-balneol, dl-menthol, l-menthol, eucalyptus oil, lavender oil, lemon oil, rose oil, sugar flavor, vanilla flavor, vanillin, chocolate flavorA22736, fruit flavor, cherry flavor, ethyl vanillin and various types of fruit juice. The quantity of the flavoring agent can be small.
- Any convenient preservative may be present, where representative preservatives include, but are not limited to: sodium benzoate, edentate sodium, sodium salicylate, sorbic acid, sodium dehydroacetate, isobutyl parahydroxybenzoate, isopropyl parahydroxybenzoate, ethyl parahydroxybenzoate, butyl parahydroxybenzoate, propyl parahydroxybenzoate, methyl parahydroxybenzoate, chlorobutanol, benzyl alcohol, phenylethyl alcohol and phenoxyethanol. The quantity of the preservative added may be readily determined based on the conventional quantity range for oral administration, as is known in the art.
- The subject compositions can be produced using any convenient protocol. For example, the compositions of the present invention can be manufactured by adding the donepezil active agent, gelling agents, thickening agents, sweetening agents and flavorants to an emulsion of oil and water and ensuring that the pH is adjusted to the desired range, e.g., between about 3 and about 7.
- In certain embodiments, the subject gelled compositions are present in single dosage form. In such embodiments, the amount of composition that makes up the single dosage form may vary, but in representative embodiments ranges from about 0.5 g to about 40 g, such as from about 1 g to about 30 g, including from about 2 g to about 20 g.
- Where desired, the single dosage formulations of these embodiments may be packaged, e.g., in disposable packaging, e.g., for self-medication. In certain embodiments, the single dosage formulations are present in a sealed pouch, e.g., made of a polymeric material, (for example a sealed pouch having a “pillow” configuration) where the pouch may include a quantity of gas to assist in delivery of the formulation from the pouch to the subject upon use (described in Patent:JP2000-256181). Another convenient disposable packaging format that may be employed is the format disclosed in U.S. Pat. No. 5,932,235, the disclosure of which is herein incorporated by reference. Briefly, the packaging format includes a disposable container, e.g., which is made of a synthetic resin, composed of a shell being deformable under forcing and capable of containing the gelled composition for oral administration therein, a ring neck with a small diameter connected to the shell, and a handle serving as the closed end of the neck and connected to the neck in a breakable manner, wherein the neck is opened to provide a spout for pouring the gelled medical composition for oral administration when the handle is broken away from the neck.
- Method of Using Gelled Donepezil Compositions
- The subject gel compositions find use in the oral administration of donepezil to a subject. By “oral administration” is meant delivery via the mouth of the subject. In using the subject gel composition to orally administer donepezil to a subject, a dosage of the donepezil gel composition is introduced into the mouth of the subject and ingested. Where the dosage is present in a packaging, such as the disposable packaging described above, the packaging is opened and the dosage formulation present therein is removed and introduced into the mouth for ingestion, e.g., by swallowing.
- Utility
- The above described donepezil gel compositions and methods find use in any application in which the administration of donepezil to a subject is desired. Generally such subjects are “mammals” or “mammalian,” where these terms are used broadly to describe organisms which are within the class mammalia, including the orders carnivore (e.g., dogs and cats), rodentia (e.g., mice, guinea pigs, and rats), and primates (e.g., humans, chimpanzees, and monkeys). In many embodiments, the hosts will be humans.
- In certain embodiments, the subject methods find use in the treatment of a disease condition. By treatment is meant at least an amelioration of the symptoms associated with the pathological condition afflicting the subject, where amelioration is used in a broad sense to refer to at least a reduction in the magnitude of a parameter, e.g. symptom, associated with the pathological condition being treated, such as viral load or side effects associated therewith. As such, treatment also includes situations where the pathological condition, or at least symptoms associated therewith, are completely inhibited, e.g. prevented from happening, or stopped, e.g. terminated, such that the host no longer suffers from the pathological condition, or at least the symptoms that characterize the pathological condition. As such, treatment includes both curing and managing a disease condition.
- Representative disease conditions in which the subject compositions find use include, but are not limited to, disease conditions in which acetyl-cholinesterase inhibition is desired. As such, the subject compositions find use in the treatment of dementia, such as senile dementia, cerebrovascular dementia or attention deficit hyperactivity disorder. In particular, the subject compositions find use in the treatment of Alzheimer type senile dementia.
- Kits
- Also provided are kits, where the subject kits at least include a donepezil gel composition, as described above. The subject gel composition in the kits may be present in a package, as described above. Kits may include the donepezil gel composition in an amount suitable for a single application or multiple applications. In instances in which gel composition is present in a kit in an amount sufficient for more than one application, multiple packages, as described above, may be provided with each containing an amount of gel composition for a single application.
- The subject kits may also include instructions for how to use the compositions in methods of donepezil delivery to a subject. The instructions may include information about dosing schedules etc., and/or how to use packaged gel compositions. In certain embodiments, the subject kits include instructions on how to use the gel compositions to treat a particular disease condition, e.g., dementia. The instructions may be recorded on a suitable recording medium. For example, the instructions may be printed on a substrate, such as paper or plastic, etc. As such, the instructions may be present in the kits as a package insert, in the labeling of the container of the kit or components thereof (i.e. associated with the packaging or subpackaging) etc. In other embodiments, the instructions are present as an electronic storage data file present on a suitable computer readable storage medium, e.g. CD-ROM, diskette, etc.
- The following practical and comparative examples are offered by way of illustration and not by way of limitation.
- The present invention will be described in more details below, referring to practical examples, but the scope of the present invention is not limited thereby.
- Practical Example
- The necessary amounts of purified water (K) and glycerin (D) are placed in a preparation tank, and components A, C, F, H and I are dissolved in the solution of water and glycerin while being heated. Next, components B are added and stirred and emulsify. Then, components E and G added under stirring to the emulsion at 80 to 90° C. so that they are dissolved and dispersed in the emulsion. Component J is added and dispersed, and the resultant composition is sterilized with heat. A disposable container is filled with a unit dose of 3 g or 6 g and chilled to make a product and individually packed unit dosage of the gelled donepezil formulation.
Ingredient Ex. 1-1 Ex. 1-2 Ex. 1-3 Ex. 1-4 Ex. 1-5 Ex. 1-6 A Donepezil hydrochloride 0.1 0.1 0.1 0.1 0.1 0.1 B Orange oil 0.45 5 Soybean oil 5 Medium-chain fatty acid glyceride 5 10 5 5 C Sucrose fatty acid ester 0.175 0.355 0.2 0.2 0.2 0.2 Polyglycerin fatty acid ester 0.2 0.2 0.2 0.2 Glycerin fatty acid ester 0.845 D Glycerin 13.5 13.5 10 15 15 15 E I-carrageenan 0.45 0.45 0.5 0.5 0.5 0.5 K-carrageenan 0.3 0.2 0.2 Locust bean gum 0.1 0.2 0.2 0.2 0.2 0.2 Xanthan gum 0.05 Sodium polyacrylate 0.003 0.003 0.003 0.03 0.03 Pectin 0.2 0.2 0.2 Agar 0.1 F Propyl parahydroxybenzoate 0.015 0.015 0.015 0.015 0.015 0.015 G Saccharine sodium 0.1 0.1 0.1 Dipotassium glycyrrhizinate 0.2 D-sorbitol 30 30 30 30 30 30 H Citric acid 0.1 0.1 0.1 I Sodium citrate Proper Proper Proper J Flavor 0.1 0.1 0.1 0.1 K Purified water Proper Proper Proper Proper Proper Proper Total quantity 100 100 100 100 100 100
Unit: g. - Test Formulations
- The necessary amount of purified water (K) and glycerin (D) are placed in a preparation tank, and components A, C and F are dissolved in the solution of water and glycerin while being heated. Next, components B are added and stirred and emulsify. Then, components E and G added under stirring to the emulsion at 80 to 90° C. so that they are dissolved and dispersed in the emulsion. Component J is added and dispersed, and the resultant composition is sterilized with heat. A disposable container is filled with a unit dose of 3 g and chilled to make a product and individually packed unit dosage of the gelled donepezil formulation.
T-02 (Com- T-03 parative (Comparative Ingredient T-01 example) Example) A Donepezil hydrochloride 0.1 0.1 0.1 B Orange oil 0.45 — — Medium-chain fatty acid 10 — — triglyceride C Sucrose fatty acid ester 0.355 — — Polyoxyethylene 0.845 — — polyoxypropylene glycol D Glycerin 13.5 13.5 13.5 E I-carrageenan 0.45 0.45 — K-carrageenan 0.2 0.2 — Locust bean gum 0.2 0.2 — Sodium polyacrylate 0.003 0.003 — F Propyl parahydroxybenzoate 0.015 0.015 0.015 G D-Sorbitol 30 38 38 J Flavor — 0.1 0.1 K Purified water 43.882 proper proper Total quantity 100 100 100
Unit: g.
Test Method
16 healthy adult volunteers are given 3 g samples from test formulations (T-01(Practical example), T-02 (Comparative example) and T-03 (Comparative example)). T-02 is a gelled medicinal composition for oral administration containing no oil and no emulsion of the present invention. T-03 is a medical solution composition for oral administration containing no oil, no emulsion and no gelling agent of the present invention. - We evaluated the bitterness on a 5 grade system, as summarized in the table below.
Bitterness Not Bitter at A Somewhat all little Bitter Bitter Bitter Very Bitter Score 5 4 3 2 1
*Bitterness means bitterness itself and sensation tongue-biting.
- Test Results
Bitterness Subject No. T-01 T-02 T-03 1 5 4 3 2 5 4 4 3 4 4 4 4 2 4 3 5 3 4 3 6 2 2 2 7 5 4 3 8 5 3 2 9 4 4 3 10 4 3 3 11 4 4 2 12 4 4 3 13 3 5 2 14 4 3 2 15 4 4 4 16 5 2 3 Total 63 58 46 Average 3.94 3.63 2.88 Deviation 0.998 0.806 0.719
There was a significant difference between T-01 and T-02 (P < 0.01)
Discussion - The test results showed that T-01 (Practical example) score was 3.94, T-02(Comparative example) score was 3.63 and T-03(Comparative example) score was 2.88. The results demonstrate that the bitterness and tongue-biting sensation of donepezil, which is the base of the present invention, is remarkably masked. Since the present invention masks the unpleasant taste of the drug substance and it is a creamy gelled formulation that is easy for oral administration, it can be provided to patients suffering from senile dementia and Alzheimer's disease, to whom donepezil is administered for a long period of time.
- Representative Manufacturing Protocol
- The following provides a representative manufacturing protocol for gelled composition according to the present invention:
- The 1st process: Prepare necessary amount of water and polyol in a preparation tank.
- The 2nd process: Add donepezil, surfactants, preservatives, pH buffering agents in a tank while being heated.
- The 3rd process: Oils are added and stirred and emulsify in a tank.
- The 4th process: Gelling agents, thickening agents and sweetening agents are added to make the emulsion.
- The 5th process: Flavor is added and dispersed.
- The 6th process: The resultant composition is sterilized with heat.
- The 7th process: A disposable container is filled with resultant gelled composition and chilled it to make a product.
- It is evident from the above discussion and results that the subject invention provides an important new donepezil gel composition. Advantages of the subject compositions include ease of ingestion by patients without experiencing an unpleasant taste, such as bitterness and paralyzing sensation. Furthermore, the compositions enhance the patient's visual awareness and attention by turning a clear water-soluble gelled composition of donepezil and/or its salts into a white emulsion. Finally, the compositions are well-suited for self-medication. As such, the subject invention represents a significant contribution to the art.
- While the present invention has been described with reference to the specific embodiments thereof, it should be understood by those skilled in the art that various changes may be made and equivalents may be substituted without departing from the true spirit and scope of the invention. In addition, many modifications may be made to adapt a particular situation, material, composition of matter, process, process step or steps, to the objective, spirit and scope of the present invention. All such modifications are intended to be within the scope of the claims appended hereto.
Claims (27)
1. A composition comprising:
a donepezil active agent present in a gelled pharmaceutically acceptable vehicle comprising an emulsion of oil and water.
2. The composition according to claim 1 , wherein said gelled pharmaceutically acceptable vehicle has a pH below about 8.
3. The composition according to claim 1 , wherein said gelled pharmaceutically acceptable vehicle has a pH ranging from about 3 to about 7.
4. The composition according to claim 2 , wherein said vehicle comprises an oil selected from the group consisting of: animal/vegetable oils, hardened animal/vegetable oils, fractionated animal/vegetable oils, fatty acid esters, tricaprin, cacao oil, cacao butter, orange oil, soybean phospholipids, palm oil, peanut oil, soybean oil, , cottonseed oil, and soybean oil mixture, eucalyptus oil, lavender oil, lemon oil, rose oil, mint oil, fennel oil, olive oil.
5. The composition according to claim 4 , wherein said fatty acid esters are chosen from medium-chain fatty acid glyceride, isopropyl myristate, and octadecyl myristate,
6. The composition according to claim 2 , wherein said oil is present in an amount ranging from about 0.1 to about 45 wt %.
7. The composition according to claim 2 , wherein said gelled pharmaceutically acceptable vehicle comprises a surfactant.
8. The composition according to claim 7 , wherein said surfactant is selected from the group consisting of potassium palmitate, sodium lauryl sulfate, potassium lauryl sulfate, polyoxyethylene alkylethers, polyoxyethylene alkenylethers, polyoxyethylene alkylphenylethers, polyoxyethylene hydrogenated castor oil, polyoxyethylene glycerin fatty acid ester, polyoxyethylene sorbitan fatty acid ester, glycerin fatty acid ester, sorbitan fatty acid ester, propylene glycol fatty acid ester, polyglycerin condensed ricinolein acid ester, polyglycerin fatty acid ester, lecithin, sucrose fatty acid ester and polyoxyethylene polyoxy propylene glycol.
9. The composition according to claim 8 , wherein said surfactant is present in an amount ranging from about 0.05 to about 25 wt %.
10. The composition according to claim 2 , wherein said gelled pharmaceutically acceptable vehicle further comprises a gelling agent.
11. The composition according to claim 10 , wherein said gelling agent is present in an amount ranging from about 0.01 to about 10 wt %.
12. The composition according to claim 10 , wherein said gelling agent is selected from the group consisting of: carrageenan, pectin, agar, alginic acid, sodium alginate, gelatin, mannan, konjak, konjak mannan, glucosic mannan, chitosan, acacia gum, xanthan gum, locust bean gum, tamarind seed polysaccharides, gellan gum, tragacanth gum, karaya gum, cassia gum, tara gum, guar gum, psyllium seed gum, gutti gum, and pullulan
13. The composition according to claim 12 , wherein said composition further comprises a thickening agent.
14. The composition according to claim 13 , wherein said thickening agent is present in an amount ranging from about 0.01 to about 10 wt %.
15. The composition according to claim 13 , wherein said thickening agent is selected from the group consisting of: acacia gum, tragacanth gum, locust bean gum, dextrin, dextran, arabinogalactan, milk solid, pullulan, alginate propylene glycol ester, hydroxyethyl starch, carboxymethyl starch, hydroxypropyl starch copolydone, polyvinyl alcohol completely saponified, polyvinyl alcohol partially saponified, polyvinyl pyrrolidone, carboxyvinyl polymer, sodium polyacrylate, polyethylene glycolmacrogol, and cellulose or its derivatives such as cellulose gum, carmellose sodium, hydroxypropyl cellulose, hydroxyethyl methyl cellulose, methyl cellulose, carboxymethyl cellulose, copolyvidone, polyvinyl pyrrolidone, carboxyvinyl polymer, polyacrylic acid or partially neutralized polyacrylic acid, or salt and macrogol.
16. The composition according to claim 1 , wherein said gelled pharmaceutically acceptable vehicle further comprises a polyol.
17. The composition according to claim 1 , wherein said gelled pharmaceutically acceptable vehicle further comprises a sweetening agent.
18. The composition according to claim 1 , wherein said gelled pharmaceutically acceptable vehicle further comprises a flavorant.
19. The composition according to claim 1 , wherein said gelled pharmaceutically acceptable vehicle further comprises a preservative.
20. The composition according to claim 1 , wherein said donepezil active agent is present in said gel composition in an amount ranging from about 0.0025 wt % to about 0.2 wt %.
21. A gelled donepezil composition comprising:
a donepezil active agent;
an emulsion of oil and water;
a surfactant;
a gelling agent; and
a thickening agent;
wherein said gelled composition has a pH ranging from about 3 to about 7.
22. A method of a making a gelled donepezil composition, said method comprising:
making an emulsion of water and oil; and
dissolving a donepezil active agent in said emulsion;
to make said gelled donepezil composition.
23. A packaged donepezil gelled composition comprising:
a single dosage of said donepezil gelled composition sealed in a disposable packaging element.
24. The packaged composition according to claim 23 , wherein said disposable packaging element is a pouch.
25. A method of administering a donepezil active agent to a subject, said method comprising:
orally delivering a gelled donepezil composition according to claim 1 to a said subject to administer said donepezil active agent to a subject.
26. A kit comprising two or more individual dosages of a gelled donepezil composition according to claim 1 .
27. The kit according to claim 26 , wherein said two or more dosages are individually packaged.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US11/476,410 US20070026075A1 (en) | 2005-07-28 | 2006-06-27 | Gelled donepezil compositions and methods for making and using the same |
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US70410405P | 2005-07-28 | 2005-07-28 | |
| US11/476,410 US20070026075A1 (en) | 2005-07-28 | 2006-06-27 | Gelled donepezil compositions and methods for making and using the same |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| US20070026075A1 true US20070026075A1 (en) | 2007-02-01 |
Family
ID=37727633
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| US11/476,410 Abandoned US20070026075A1 (en) | 2005-07-28 | 2006-06-27 | Gelled donepezil compositions and methods for making and using the same |
Country Status (6)
| Country | Link |
|---|---|
| US (1) | US20070026075A1 (en) |
| EP (1) | EP1906925A1 (en) |
| JP (1) | JP2009502917A (en) |
| AR (1) | AR057474A1 (en) |
| TW (1) | TW200726468A (en) |
| WO (1) | WO2007018801A1 (en) |
Cited By (11)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20120022104A1 (en) * | 2009-04-03 | 2012-01-26 | Kurato Takanashi | Pectin-containing jelly formulation |
| US20120029017A1 (en) * | 2009-04-03 | 2012-02-02 | Nichi-Iko Pharma Factory Co., Ltd. | Pectin-containing jelly formulation |
| WO2012046066A1 (en) * | 2010-10-06 | 2012-04-12 | Probio Asa | Sour gelled emulsions |
| WO2011128631A3 (en) * | 2010-04-14 | 2012-05-10 | Probio Asa | Vegetarian oral pharmaceutical and nutraceutical compositions |
| WO2011128633A3 (en) * | 2010-04-14 | 2012-07-05 | Probio Asa | Oral pharmaceutical dispersion compositions |
| US9132291B2 (en) | 2010-10-05 | 2015-09-15 | Dfb Technology, Ltd. | Water-in-oil emulsion compositions containing gellan gum for topical delivery of active ingredients to the skin or mucosa |
| EP3138553A1 (en) * | 2010-04-14 | 2017-03-08 | Ayanda Group AS | Oral veterinary pharmaceutical and nutraceutical compositions |
| US9724296B2 (en) | 2008-10-08 | 2017-08-08 | Vitux Group As | Chewable gelled emulsions |
| US20200113836A1 (en) * | 2017-05-31 | 2020-04-16 | Daewoong Pharmaceutical Co., Ltd. | Method of preparing sustained-release drug microparticles with easy release control |
| US10994013B2 (en) | 2013-04-24 | 2021-05-04 | Temple University—Of the Commonwealth System of Higher Education | Solid dosage form containing arabinogalactan |
| CN114246824A (en) * | 2022-01-24 | 2022-03-29 | 南京康川济医药科技有限公司 | Donepezil oral gel and preparation method thereof |
Families Citing this family (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JP2012188383A (en) * | 2011-03-10 | 2012-10-04 | Towa Yakuhin Kk | Fluid medicine for internal use of donepezil hydrochloride |
Citations (12)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US4895841A (en) * | 1987-06-22 | 1990-01-23 | Eisai Co., Ltd. | Cyclic amine compounds with activity against acetylcholinesterase |
| US5932235A (en) * | 1996-01-12 | 1999-08-03 | Ohta Pharmaceutical Co., Ltd. | Jellied medicinal composition for oral administration |
| US5985864A (en) * | 1996-06-07 | 1999-11-16 | Eisai Co., Ltd. | Polymorphs of donepezil hydrochloride and process for production |
| US6140321A (en) * | 1996-06-07 | 2000-10-31 | Eisai Co., Ltd. | Polymorphs of donepezil hydrochloride and process for production |
| US6193993B1 (en) * | 1998-03-03 | 2001-02-27 | Eisai Co., Ltd. | Suppository containing an antidementia medicament |
| US6245911B1 (en) * | 1997-12-05 | 2001-06-12 | Eisai Co., Ltd. | Donepezil polycrystals and process for producing the same |
| US6252081B1 (en) * | 1998-01-16 | 2001-06-26 | Eisai Co., Ltd. | Process for production of donepezil derivative |
| US6576677B1 (en) * | 1998-08-28 | 2003-06-10 | Eisai Co., Ltd. | Medicinal compositions with relieved bitterness |
| US20040002517A1 (en) * | 2002-07-01 | 2004-01-01 | Chemagis Ltd. | Pharmaceutical compositions containing donepezil hydrochloride |
| US20040214863A1 (en) * | 2000-03-03 | 2004-10-28 | Eisai Co., Ltd. | Liquid dosage formulations of donepezil |
| US20050004104A1 (en) * | 2003-05-30 | 2005-01-06 | Cali Brian M. | Methods for the protection of memory and cognition |
| US20050143314A1 (en) * | 2003-12-29 | 2005-06-30 | Jason Patrick | Compositions and methods to treat recurrent medical conditions |
-
2006
- 2006-06-27 EP EP06774162A patent/EP1906925A1/en not_active Withdrawn
- 2006-06-27 JP JP2008523894A patent/JP2009502917A/en active Pending
- 2006-06-27 US US11/476,410 patent/US20070026075A1/en not_active Abandoned
- 2006-06-27 WO PCT/US2006/025112 patent/WO2007018801A1/en not_active Ceased
- 2006-07-20 AR ARP060103130A patent/AR057474A1/en not_active Application Discontinuation
- 2006-07-27 TW TW095127408A patent/TW200726468A/en unknown
Patent Citations (12)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US4895841A (en) * | 1987-06-22 | 1990-01-23 | Eisai Co., Ltd. | Cyclic amine compounds with activity against acetylcholinesterase |
| US5932235A (en) * | 1996-01-12 | 1999-08-03 | Ohta Pharmaceutical Co., Ltd. | Jellied medicinal composition for oral administration |
| US5985864A (en) * | 1996-06-07 | 1999-11-16 | Eisai Co., Ltd. | Polymorphs of donepezil hydrochloride and process for production |
| US6140321A (en) * | 1996-06-07 | 2000-10-31 | Eisai Co., Ltd. | Polymorphs of donepezil hydrochloride and process for production |
| US6245911B1 (en) * | 1997-12-05 | 2001-06-12 | Eisai Co., Ltd. | Donepezil polycrystals and process for producing the same |
| US6252081B1 (en) * | 1998-01-16 | 2001-06-26 | Eisai Co., Ltd. | Process for production of donepezil derivative |
| US6193993B1 (en) * | 1998-03-03 | 2001-02-27 | Eisai Co., Ltd. | Suppository containing an antidementia medicament |
| US6576677B1 (en) * | 1998-08-28 | 2003-06-10 | Eisai Co., Ltd. | Medicinal compositions with relieved bitterness |
| US20040214863A1 (en) * | 2000-03-03 | 2004-10-28 | Eisai Co., Ltd. | Liquid dosage formulations of donepezil |
| US20040002517A1 (en) * | 2002-07-01 | 2004-01-01 | Chemagis Ltd. | Pharmaceutical compositions containing donepezil hydrochloride |
| US20050004104A1 (en) * | 2003-05-30 | 2005-01-06 | Cali Brian M. | Methods for the protection of memory and cognition |
| US20050143314A1 (en) * | 2003-12-29 | 2005-06-30 | Jason Patrick | Compositions and methods to treat recurrent medical conditions |
Cited By (16)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US10668013B2 (en) | 2008-10-08 | 2020-06-02 | Vitux Group As | Chewable gelled emulsions |
| US9724296B2 (en) | 2008-10-08 | 2017-08-08 | Vitux Group As | Chewable gelled emulsions |
| US9125809B2 (en) * | 2009-04-03 | 2015-09-08 | Nichi-Iko Pharmaceutical Co., Ltd. | Pectin-containing jelly formulation |
| US20120029017A1 (en) * | 2009-04-03 | 2012-02-02 | Nichi-Iko Pharma Factory Co., Ltd. | Pectin-containing jelly formulation |
| US20120022104A1 (en) * | 2009-04-03 | 2012-01-26 | Kurato Takanashi | Pectin-containing jelly formulation |
| WO2011128633A3 (en) * | 2010-04-14 | 2012-07-05 | Probio Asa | Oral pharmaceutical dispersion compositions |
| EP3138553A1 (en) * | 2010-04-14 | 2017-03-08 | Ayanda Group AS | Oral veterinary pharmaceutical and nutraceutical compositions |
| WO2011128631A3 (en) * | 2010-04-14 | 2012-05-10 | Probio Asa | Vegetarian oral pharmaceutical and nutraceutical compositions |
| EP2557943B1 (en) * | 2010-04-14 | 2018-05-30 | Vitux Group AS | Oral veterinary pharmaceutical and nutraceutical compositions |
| US10966926B2 (en) | 2010-04-14 | 2021-04-06 | Vitux Group As | Oral pharmaceutical dispersion compositions |
| US9132291B2 (en) | 2010-10-05 | 2015-09-15 | Dfb Technology, Ltd. | Water-in-oil emulsion compositions containing gellan gum for topical delivery of active ingredients to the skin or mucosa |
| CN103313699A (en) * | 2010-10-06 | 2013-09-18 | 阿扬达集团 | Sour gelled emulsions |
| WO2012046066A1 (en) * | 2010-10-06 | 2012-04-12 | Probio Asa | Sour gelled emulsions |
| US10994013B2 (en) | 2013-04-24 | 2021-05-04 | Temple University—Of the Commonwealth System of Higher Education | Solid dosage form containing arabinogalactan |
| US20200113836A1 (en) * | 2017-05-31 | 2020-04-16 | Daewoong Pharmaceutical Co., Ltd. | Method of preparing sustained-release drug microparticles with easy release control |
| CN114246824A (en) * | 2022-01-24 | 2022-03-29 | 南京康川济医药科技有限公司 | Donepezil oral gel and preparation method thereof |
Also Published As
| Publication number | Publication date |
|---|---|
| JP2009502917A (en) | 2009-01-29 |
| TW200726468A (en) | 2007-07-16 |
| EP1906925A1 (en) | 2008-04-09 |
| AR057474A1 (en) | 2007-12-05 |
| WO2007018801A1 (en) | 2007-02-15 |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| CA2567075C (en) | Pharmaceutical suspension composition | |
| WO2007067331A1 (en) | Pharmaceutical formulation for sulfur-containing drugs in liquid dosage forms | |
| US8501219B2 (en) | Flavoring systems for pharmaceutical compositions and methods of making such compositions | |
| JP5048398B2 (en) | Pharmaceutical composition of antifungal agent | |
| US20070026075A1 (en) | Gelled donepezil compositions and methods for making and using the same | |
| JP2012505172A (en) | Liquid pharmaceutical formulation with paracetamol | |
| JP4987261B2 (en) | Gel oral preparation | |
| JP5529165B2 (en) | Formulation for oral mucosal administration of lipid-lowering drugs | |
| US20250000984A1 (en) | Diphenhydramine syrup formulation or suspension | |
| JP7759889B2 (en) | Novel compositions for oral or nasal use | |
| JP2008260708A (en) | Oral jelly-like pharmaceutical composition containing benzisoxazole derivative | |
| US20150306111A1 (en) | Pharmaceutical composition comprising desloratadine and prednisolone and their use | |
| JP2006028028A (en) | Oral medicinal composition | |
| US20210322345A1 (en) | Midodrine hydrochloride oral solution and uses thereof | |
| US20050175628A1 (en) | Chinese herb medicine composition in the form of jelly | |
| KR20140081738A (en) | Pharmaceutical composition in the form of an oral suspension comprising flavonoid fraction and xanthan gum | |
| JP5611672B2 (en) | Oral jelly | |
| JP2004522698A (en) | Perfume systems for pharmaceutical compositions and methods for producing such compositions | |
| JP7614207B2 (en) | Liquid Compositions Comprising Ibuprofen and Phenylephrine | |
| RU2842648C1 (en) | Liquid composition containing ibuprofen and phenylephrine | |
| KR101458670B1 (en) | Pharmaceutical composition comprising branched chain amino acids as active ingredients and the preparation method thereof | |
| US20230321248A1 (en) | Syrup formulation or suspension | |
| CN118715001A (en) | Aqueous melatonin preparations | |
| WO2013144976A2 (en) | Chewable soft gelatin capsule dosage form of mucolytic agents | |
| BR112020017468B1 (en) | ORAL DOSAGE FORMS AND USE OF THEOBROMINE-FREE COCOA FOR PREPARING THE SAME |
Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| AS | Assignment |
Owner name: TEIKOKU PHARMA USA, INC., CALIFORNIA Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNORS:SHUDO, JUTARO;YONETO, KUNIO;REEL/FRAME:018136/0371;SIGNING DATES FROM 20060719 TO 20060731 |
|
| STCB | Information on status: application discontinuation |
Free format text: ABANDONED -- FAILURE TO RESPOND TO AN OFFICE ACTION |